Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $2,050.29 / $2,140.61	Facility		$903.21	$2,050.29	$2,140.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $860.71 / $903.21 / $913.84	Professional		$860.71	$903.21	$913.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $748.60 / $1,009.47 / $3,795.00	Facility		$748.60	$1,009.47	$3,795.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $908.52 / $1,009.47 / $4,554.00	Professional		$908.52	$1,009.47	$4,554.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $903.21 / $903.21 / $1,806.42	Facility		$903.21	$903.21	$1,806.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.21 / $903.21 / $903.21	Professional		$903.21	$903.21	$903.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.11 / $457.64 / $619.67	Facility		$235.11	$457.64	$619.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.11 / $458.43 / $619.67	Professional		$235.11	$458.43	$619.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $1,110.41	Professional		$75.00	$75.00	$1,110.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $1,009.47	Facility		$1,009.47	$1,009.47	$1,009.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $1,009.47	Professional		$1,009.47	$1,009.47	$1,009.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,009.47 / $1,009.47 / $1,009.47	Facility		$1,009.47	$1,009.47	$1,009.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,009.47 / $1,009.47	Professional		$959.00	$1,009.47	$1,009.47
United Facility/Professional Professional Modifier Low / Median / High Price $885.50 / $885.50 / $1,062.59	Professional		$885.50	$885.50	$1,062.59