Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.94 / $1,297.84 / $2,734.08	Facility		$395.94	$1,297.84	$2,734.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.57 / $391.77 / $404.28	Professional		$262.57	$391.77	$404.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $666.85 / $1,979.71	Facility		$437.62	$666.85	$1,979.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $1,020.90 / $3,125.85	Professional		$375.10	$1,020.90	$3,125.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.46 / $885.96 / $1,076.19	Facility		$433.46	$885.96	$1,076.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $375.10 / $416.78 / $708.53	Facility		$375.10	$416.78	$708.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $416.78 / $1,041.95	Professional		$375.10	$416.78	$1,041.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $583.49	Facility		$416.78	$416.78	$583.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $729.37 / $1,292.02	Facility		$416.78	$729.37	$1,292.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $520.97 / $629.34	Professional		$375.10	$520.97	$629.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $666.85 / $1,146.15	Facility		$437.62	$666.85	$1,146.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.96 / $814.40 / $1,020.90	Professional		$460.96	$814.40	$1,020.90
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $175.05 / $466.79	Professional		$175.05	$175.05	$466.79