Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.20 / $1,776.92 / $4,297.80	Facility		$733.20	$1,776.92	$4,297.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.20 / $756.60 / $1,154.40	Professional		$733.20	$756.60	$1,154.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,248.00 / $3,222.49	Facility		$819.00	$1,248.00	$3,222.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $1,595.08 / $5,850.00	Professional		$702.00	$1,595.08	$5,850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $785.55 / $1,597.05 / $2,028.00	Facility		$785.55	$1,597.05	$2,028.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.31 / $874.58 / $1,064.08	Professional		$412.31	$874.58	$1,064.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $769.73 / $975.00 / $2,226.50	Facility		$769.73	$975.00	$2,226.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $1,146.59 / $2,158.02	Professional		$780.00	$1,146.59	$2,158.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $763.62 / $827.71	Professional		$75.00	$763.62	$827.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $780.00 / $1,638.00	Facility		$780.00	$780.00	$1,638.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,365.00 / $2,340.00	Facility		$780.00	$1,365.00	$2,340.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $975.00 / $1,177.80	Professional		$702.00	$975.00	$1,177.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $819.00 / $1,279.98 / $2,145.00	Facility		$819.00	$1,279.98	$2,145.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $862.68 / $1,517.97 / $1,813.48	Professional		$862.68	$1,517.97	$1,813.48
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $327.60 / $873.60	Professional		$327.60	$327.60	$873.60