Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.58 / $2,062.46 / $4,728.96	Facility		$622.58	$2,062.46	$4,728.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.26 / $622.58 / $642.45	Professional		$417.26	$622.58	$642.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $695.44 / $1,086.86 / $3,146.02	Facility		$695.44	$1,086.86	$3,146.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $2,042.74 / $4,967.39	Professional		$662.32	$2,042.74	$4,967.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $688.82 / $1,407.90 / $1,710.20	Facility		$688.82	$1,407.90	$1,710.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $596.09 / $662.32 / $1,125.94	Facility		$596.09	$662.32	$1,125.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $662.32 / $1,655.80	Professional		$596.09	$662.32	$1,655.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $662.32 / $927.25	Facility		$662.32	$662.32	$927.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $1,159.06 / $2,053.19	Facility		$662.32	$1,159.06	$2,053.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.09 / $827.90 / $1,000.10	Professional		$596.09	$827.90	$1,000.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $695.44 / $1,092.83 / $1,821.38	Facility		$695.44	$1,092.83	$1,821.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $732.53 / $1,294.46 / $1,540.26	Professional		$732.53	$1,294.46	$1,540.26
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $278.17 / $741.80	Professional		$278.17	$278.17	$741.80