Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $1,366.86 / $3,306.00	Facility		$564.00	$1,366.86	$3,306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $493.14 / $888.00	Professional		$300.00	$493.14	$888.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $960.00 / $2,478.84	Facility		$630.00	$960.00	$2,478.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $1,172.58 / $4,500.00	Professional		$540.00	$1,172.58	$4,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,275.42 / $1,561.37	Facility		$624.00	$1,275.42	$1,561.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $634.22 / $818.39	Professional		$286.98	$634.22	$818.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $573.23 / $808.80 / $1,856.30	Facility		$573.23	$808.80	$1,856.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.10 / $882.00 / $1,628.13	Professional		$592.10	$882.00	$1,628.13
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 $600.00 / $600.00 / $900.00	Facility		$600.00	$600.00	$900.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,050.00 / $1,800.00	Facility		$600.00	$1,050.00	$1,800.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $750.00 / $906.00	Professional		$540.00	$750.00	$906.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $960.00 / $1,650.00	Facility		$630.00	$960.00	$1,650.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $663.60 / $1,167.77 / $1,394.75	Professional		$663.60	$1,167.77	$1,394.75
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $672.00	Professional		$252.00	$252.00	$672.00