Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.49 / $1,927.89 / $4,662.95	Facility		$795.49	$1,927.89	$4,662.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.38 / $795.49 / $1,252.48	Professional		$592.38	$795.49	$1,252.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,354.03 / $3,496.28	Facility		$888.58	$1,354.03	$3,496.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,653.26 / $6,347.03	Professional		$761.64	$1,653.26	$6,347.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.13 / $1,798.93 / $2,185.19	Facility		$880.13	$1,798.93	$2,185.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.22 / $894.55 / $1,197.71	Professional		$404.22	$894.55	$1,197.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,057.83 / $2,896.87	Facility		$846.27	$1,057.83	$2,896.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,438.66 / $2,618.00	Professional		$846.27	$1,438.66	$2,618.00
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 $846.27 / $846.27 / $1,269.41	Facility		$846.27	$846.27	$1,269.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,480.97 / $2,538.81	Facility		$846.27	$1,480.97	$2,538.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,057.83 / $1,277.86	Professional		$761.64	$1,057.83	$1,277.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,354.03 / $2,327.23	Facility		$888.58	$1,354.03	$2,327.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $935.97 / $1,646.60 / $1,967.51	Professional		$935.97	$1,646.60	$1,967.51
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $947.82	Professional		$355.43	$355.43	$947.82