Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.16 / $3,347.64 / $6,665.58	Facility		$705.16	$3,347.64	$6,665.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.63 / $697.73 / $720.00	Professional		$467.63	$697.73	$720.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $779.38 / $1,187.63 / $2,597.94	Facility		$779.38	$1,187.63	$2,597.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $1,817.70 / $5,567.03	Professional		$699.20	$1,817.70	$5,567.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.97 / $1,577.85 / $1,916.65	Facility		$771.97	$1,577.85	$1,916.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $668.04 / $742.27 / $1,855.68	Facility		$668.04	$742.27	$1,855.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $742.27 / $1,855.68	Professional		$668.04	$742.27	$1,855.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $742.27 / $1,039.18	Facility		$742.27	$742.27	$1,039.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $1,291.55 / $2,226.81	Facility		$742.27	$1,291.55	$2,226.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $927.84 / $1,120.83	Professional		$668.04	$927.84	$1,120.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $779.38 / $1,187.63 / $2,041.24	Facility		$779.38	$1,187.63	$2,041.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $820.95 / $1,450.57 / $1,817.70	Professional		$820.95	$1,450.57	$1,817.70
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $831.34	Professional		$311.75	$311.75	$831.34