Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $1,014.72 / $3,306.00	Facility		$564.00	$1,014.72	$3,306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.44 / $564.00 / $942.24	Professional		$419.44	$564.00	$942.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $984.60 / $2,478.84	Facility		$630.00	$984.60	$2,478.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $539.52 / $1,172.58 / $4,500.00	Professional		$539.52	$1,172.58	$4,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $604.27 / $1,275.42 / $1,580.94	Facility		$604.27	$1,275.42	$1,580.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.36 / $634.22 / $818.39	Professional		$304.36	$634.22	$818.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $592.10 / $758.25 / $1,856.30	Facility		$592.10	$758.25	$1,856.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $882.00 / $1,660.77	Professional		$600.00	$882.00	$1,660.77
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 / $1,260.00	Facility		$600.00	$600.00	$1,260.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,044.00 / $1,800.00	Facility		$600.00	$1,044.00	$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 / $984.60 / $1,650.00	Facility		$630.00	$984.60	$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