Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.00 / $2,050.29 / $4,959.00	Facility		$846.00	$2,050.29	$4,959.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $846.00 / $1,235.97	Professional		$306.00	$846.00	$1,235.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $1,440.00 / $3,718.26	Facility		$945.00	$1,440.00	$3,718.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,758.54 / $6,750.00	Professional		$810.00	$1,758.54	$6,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.49 / $1,450.80 / $2,323.91	Facility		$339.49	$1,450.80	$2,323.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.94 / $1,009.33 / $1,228.03	Professional		$454.94	$1,009.33	$1,228.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $888.15 / $1,125.00 / $2,569.04	Facility		$888.15	$1,125.00	$2,569.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,323.00 / $2,490.03	Professional		$900.00	$1,323.00	$2,490.03
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 $900.00 / $900.00 / $1,890.00	Facility		$900.00	$900.00	$1,890.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.00 / $1,575.00 / $2,700.00	Facility		$810.00	$1,575.00	$2,700.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,125.00 / $1,359.00	Professional		$810.00	$1,125.00	$1,359.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $1,476.90 / $2,475.00	Facility		$945.00	$1,476.90	$2,475.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $995.40 / $1,751.66 / $2,092.90	Professional		$995.40	$1,751.66	$2,092.90
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $378.00 / $990.00	Professional		$378.00	$378.00	$990.00