Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.49 / $1,413.27 / $4,662.95	Facility		$795.49	$1,413.27	$4,662.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.49 / $1,103.35 / $1,333.89	Professional		$795.49	$1,103.35	$1,333.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,388.73 / $4,614.88	Facility		$888.58	$1,388.73	$4,614.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,653.26 / $6,347.03	Professional		$761.64	$1,653.26	$6,347.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.40 / $1,873.60 / $2,200.32	Facility		$903.40	$1,873.60	$2,200.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.28 / $948.74 / $1,197.71	Professional		$447.28	$948.74	$1,197.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $835.14 / $1,057.83 / $2,415.69	Facility		$835.14	$1,057.83	$2,415.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,244.02 / $2,342.21	Professional		$846.27	$1,244.02	$2,342.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $828.49 / $898.04	Professional		$75.00	$828.49	$898.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $1,777.17	Facility		$846.27	$846.27	$1,777.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,523.29 / $2,538.81	Facility		$846.27	$1,523.29	$2,538.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,057.83 / $1,277.86	Professional		$761.64	$1,057.83	$1,277.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,388.73 / $2,327.23	Facility		$888.58	$1,388.73	$2,327.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $935.97 / $1,646.60 / $1,967.51	Professional		$935.97	$1,646.60	$1,967.51
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $1,015.52	Professional		$355.43	$355.43	$1,015.52