Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.34 / $1,022.53 / $3,536.59	Facility		$603.34	$1,022.53	$3,536.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.33 / $603.34 / $622.59	Professional		$261.33	$603.34	$622.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $673.94 / $1,026.96 / $2,651.74	Facility		$673.94	$1,026.96	$2,651.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $603.34 / $1,315.01 / $4,813.88	Professional		$603.34	$1,315.01	$4,813.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $341.37 / $1,043.00 / $1,657.33	Facility		$341.37	$1,043.00	$1,657.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $697.70 / $938.07	Professional		$316.60	$697.70	$938.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $802.31 / $2,196.56	Facility		$641.85	$802.31	$2,196.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $943.52 / $1,985.10	Professional		$641.85	$943.52	$1,985.10
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 $641.85 / $673.94 / $962.78	Facility		$641.85	$673.94	$962.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $641.85 / $1,123.24 / $1,925.55	Facility		$641.85	$1,123.24	$1,925.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.66 / $802.31 / $969.19	Professional		$577.66	$802.31	$969.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $673.94 / $1,026.96 / $1,765.09	Facility		$673.94	$1,026.96	$1,765.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $709.89 / $1,249.26 / $1,492.27	Professional		$709.89	$1,249.26	$1,492.27
United Facility/Professional Professional Modifier Low / Median / High Price $269.58 / $269.58 / $718.87	Professional		$269.58	$269.58	$718.87