Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.86 / $1,727.62 / $4,178.56	Facility		$712.86	$1,727.62	$4,178.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $712.86 / $1,122.36	Professional		$477.77	$712.86	$1,122.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $796.28 / $1,213.38 / $3,133.09	Facility		$796.28	$1,213.38	$3,133.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $1,550.74 / $5,687.70	Professional		$644.61	$1,550.74	$5,687.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.75 / $1,552.73 / $1,971.72	Facility		$763.75	$1,552.73	$1,971.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.89 / $850.35 / $1,034.59	Professional		$400.89	$850.35	$1,034.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $748.65 / $947.95 / $2,165.53	Facility		$748.65	$947.95	$2,165.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $1,114.79 / $2,098.90	Professional		$758.36	$1,114.79	$2,098.90
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 $758.36 / $758.36 / $1,592.56	Facility		$758.36	$758.36	$1,592.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $1,327.13 / $2,275.08	Facility		$758.36	$1,327.13	$2,275.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.52 / $947.95 / $1,145.11	Professional		$682.52	$947.95	$1,145.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $796.28 / $1,244.47 / $2,085.48	Facility		$796.28	$1,244.47	$2,085.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $838.75 / $1,475.54 / $1,763.17	Professional		$838.75	$1,475.54	$1,763.17
United Facility/Professional Professional Modifier Low / Median / High Price $318.51 / $318.51 / $849.36	Professional		$318.51	$318.51	$849.36