Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.88 / $1,091.63 / $3,721.45	Facility		$634.88	$1,091.63	$3,721.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $634.88 / $655.14	Professional		$451.23	$634.88	$655.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $709.17 / $1,095.84 / $2,790.35	Facility		$709.17	$1,095.84	$2,790.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $1,319.57 / $5,065.50	Professional		$580.41	$1,319.57	$5,065.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.42 / $1,382.88 / $1,756.04	Facility		$702.42	$1,382.88	$1,756.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.39 / $714.19 / $921.58	Professional		$341.39	$714.19	$921.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $666.50 / $853.65 / $2,089.30	Facility		$666.50	$853.65	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $992.84 / $1,869.22	Professional		$675.40	$992.84	$1,869.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $601.11 / $661.22 / $1,817.85	Professional		$601.11	$661.22	$1,817.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $675.40 / $1,418.34	Facility		$675.40	$675.40	$1,418.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $1,175.20 / $2,026.20	Facility		$675.40	$1,175.20	$2,026.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.86 / $844.25 / $1,019.85	Professional		$607.86	$844.25	$1,019.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $709.17 / $1,108.33 / $1,857.35	Facility		$709.17	$1,108.33	$1,857.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $746.99 / $1,314.58 / $1,570.45	Professional		$746.99	$1,314.58	$1,570.45
United Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $283.67 / $756.45	Professional		$271.42	$283.67	$756.45