Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.91 / $1,541.13 / $3,727.52	Facility		$635.91	$1,541.13	$3,727.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.29 / $635.91 / $1,001.22	Professional		$112.29	$635.91	$1,001.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $1,082.40 / $2,367.75	Facility		$676.50	$1,082.40	$2,367.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $1,321.55 / $5,073.75	Professional		$608.85	$1,321.55	$5,073.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $1,099.33 / $1,746.83	Facility		$150.44	$1,099.33	$1,746.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.65 / $778.03 / $922.92	Professional		$694.65	$778.03	$922.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $845.62 / $2,092.69	Facility		$676.50	$845.62	$2,092.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $994.46 / $2,092.69	Professional		$676.50	$994.46	$2,092.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $602.09 / $662.29 / $1,820.80	Professional		$602.09	$662.29	$1,820.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $676.50 / $1,014.75	Facility		$676.50	$676.50	$1,014.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $1,183.88 / $2,029.50	Facility		$676.50	$1,183.88	$2,029.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $845.63 / $1,021.52	Professional		$608.85	$845.63	$1,021.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $710.33 / $1,062.10 / $1,860.38	Facility		$710.33	$1,062.10	$1,860.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.21 / $1,316.61 / $1,572.77	Professional		$748.21	$1,316.61	$1,572.77
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $118.81 / $676.50	Professional		$118.81	$118.81	$676.50