Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $2,731.95 / $5,036.14	Facility		$0.03	$2,731.95	$5,036.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,352.72 / $1,352.72 / $5,877.02	Professional		$1,352.72	$1,352.72	$5,877.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $959.70 / $1,462.40 / $3,776.10	Facility		$959.70	$1,462.40	$3,776.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $1,868.78 / $6,855.00	Professional		$846.27	$1,868.78	$6,855.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.56 / $1,942.89 / $2,360.06	Facility		$950.56	$1,942.89	$2,360.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.01 / $1,063.45 / $1,293.60	Professional		$924.01	$1,063.45	$1,293.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,130.90 / $2,827.25	Facility		$914.00	$1,130.90	$2,827.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,553.80 / $2,827.25	Professional		$914.00	$1,553.80	$2,827.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $894.80 / $969.91	Professional		$75.00	$894.80	$969.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $914.00 / $1,371.00	Facility		$914.00	$914.00	$1,371.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,599.50 / $2,742.00	Facility		$914.00	$1,599.50	$2,742.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $1,142.50 / $1,380.14	Professional		$822.60	$1,142.50	$1,380.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $959.70 / $1,462.40 / $2,513.50	Facility		$959.70	$1,462.40	$2,513.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,010.88 / $1,778.59 / $2,125.40	Professional		$1,010.88	$1,778.59	$2,125.40
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $1,023.68	Professional		$383.88	$383.88	$1,023.68