Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.00 / $1,218.85 / $1,333.57	Facility		$690.00	$1,218.85	$1,333.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $1,218.85 / $1,428.11	Professional		$423.77	$1,218.85	$1,428.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,048.38 / $2,894.15 / $3,734.89	Facility		$1,048.38	$2,894.15	$3,734.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $473.82 / $935.71 / $3,242.55	Professional		$473.82	$935.71	$3,242.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.50 / $2,561.89 / $4,659.12	Facility		$1,060.50	$2,561.89	$4,659.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.04 / $592.04 / $592.04	Professional		$592.04	$592.04	$592.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $950.50 / $1,159.63 / $2,845.04	Facility		$950.50	$1,159.63	$2,845.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.63 / $1,722.63 / $1,722.63	Professional		$1,722.63	$1,722.63	$1,722.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.81 / $428.12 / $1,020.87	Facility		$207.81	$428.12	$1,020.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.08 / $514.58 / $1,048.38	Facility		$510.08	$514.58	$1,048.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.44 / $871.52 / $1,055.40	Professional		$562.44	$871.52	$1,055.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $950.76 / $2,764.34 / $5,407.87	Facility		$950.76	$2,764.34	$5,407.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $740.23 / $1,011.37	Professional		$562.50	$740.23	$1,011.37
United Facility/Professional Professional Modifier Low / Median / High Price $402.80 / $467.42 / $1,068.75	Professional		$402.80	$467.42	$1,068.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.78 / $124.78 / $422.91	Professional		$124.78	$124.78	$422.91