Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.41 / $1,753.18 / $4,240.39	Facility		$723.41	$1,753.18	$4,240.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $723.41 / $1,226.02	Professional		$461.75	$723.41	$1,226.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $808.06 / $1,231.33 / $3,179.44	Facility		$808.06	$1,231.33	$3,179.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $692.62 / $1,576.59 / $5,771.85	Professional		$692.62	$1,576.59	$5,771.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.37 / $1,575.72 / $2,000.92	Facility		$800.37	$1,575.72	$2,000.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.77 / $862.83 / $1,049.79	Professional		$406.77	$862.83	$1,049.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $759.50 / $961.98 / $2,196.91	Facility		$759.50	$961.98	$2,196.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $1,131.28 / $2,129.98	Professional		$769.58	$1,131.28	$2,129.98
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 $769.58 / $769.58 / $1,616.12	Facility		$769.58	$769.58	$1,616.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $1,346.77 / $2,308.73	Facility		$769.58	$1,346.77	$2,308.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.62 / $961.98 / $1,162.07	Professional		$692.62	$961.98	$1,162.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $808.06 / $1,262.88 / $2,116.35	Facility		$808.06	$1,262.88	$2,116.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.16 / $1,497.76 / $1,789.49	Professional		$851.16	$1,497.76	$1,789.49
United Facility/Professional Professional Modifier Low / Median / High Price $323.22 / $323.22 / $861.93	Professional		$323.22	$323.22	$861.93