Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.91 / $1,541.13 / $3,727.52	Facility		$635.91	$1,541.13	$3,727.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $353.51 / $635.91 / $1,001.22	Professional		$353.51	$635.91	$1,001.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $710.33 / $1,082.40 / $2,794.89	Facility		$710.33	$1,082.40	$2,794.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $636.32 / $1,321.55 / $5,073.75	Professional		$636.32	$1,321.55	$5,073.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $681.32 / $1,438.05 / $1,839.86	Facility		$681.32	$1,438.05	$1,839.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.12 / $715.23 / $922.92	Professional		$338.12	$715.23	$922.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $675.63 / $953.28 / $2,092.69	Facility		$675.63	$953.28	$2,092.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $1,012.95 / $1,872.26	Professional		$676.50	$1,012.95	$1,872.26
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 $676.50 / $676.50 / $1,014.75	Facility		$676.50	$676.50	$1,014.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $1,183.88 / $2,029.50	Facility		$676.50	$1,183.88	$2,029.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $845.63 / $1,021.52	Professional		$608.85	$845.63	$1,021.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $710.33 / $1,082.40 / $1,860.38	Facility		$710.33	$1,082.40	$1,860.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.21 / $1,316.61 / $1,572.77	Professional		$748.21	$1,316.61	$1,572.77
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $296.95 / $757.68	Professional		$284.13	$296.95	$757.68