Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.40 / $1,124.80 / $4,187.60	Facility		$714.40	$1,124.80	$4,187.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.47 / $714.40 / $1,124.80	Professional		$421.47	$714.40	$1,124.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,216.00 / $3,139.86	Facility		$798.00	$1,216.00	$3,139.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $1,579.27 / $5,700.00	Professional		$684.00	$1,579.27	$5,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.40 / $1,566.83 / $1,976.00	Facility		$790.40	$1,566.83	$1,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.88 / $803.51 / $1,036.83	Professional		$288.88	$803.51	$1,036.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $749.89 / $960.30 / $2,351.10	Facility		$749.89	$960.30	$2,351.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,117.20 / $2,103.44	Professional		$760.00	$1,117.20	$2,103.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $744.04 / $806.48	Professional		$75.00	$744.04	$806.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $1,596.00	Facility		$760.00	$760.00	$1,596.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,330.00 / $2,280.00	Facility		$760.00	$1,330.00	$2,280.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $950.00 / $1,147.59	Professional		$684.00	$950.00	$1,147.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,216.00 / $2,090.00	Facility		$798.00	$1,216.00	$2,090.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $840.56 / $1,478.90 / $1,767.04	Professional		$840.56	$1,478.90	$1,767.04
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $319.20 / $851.20	Professional		$252.88	$319.20	$851.20