Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $1,387.90 / $3,980.05	Facility		$611.41	$1,387.90	$3,980.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.63 / $611.41 / $618.60	Professional		$582.63	$611.41	$618.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $683.33 / $683.33 / $3,219.63	Facility		$683.33	$683.33	$3,219.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $683.33 / $6,116.03	Professional		$649.16	$683.33	$6,116.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.41 / $611.41 / $1,222.82	Facility		$611.41	$611.41	$1,222.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.41 / $611.41 / $611.41	Professional		$611.41	$611.41	$611.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $1,328.67 / $1,855.63	Facility		$530.41	$1,328.67	$1,855.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.41 / $1,348.26 / $1,927.59	Professional		$530.41	$1,348.26	$1,927.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $751.66	Professional		$75.00	$75.00	$751.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.33 / $683.33 / $1,407.67	Facility		$683.33	$683.33	$1,407.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.33 / $683.33 / $683.33	Facility		$683.33	$683.33	$683.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.33 / $683.33 / $683.33	Professional		$683.33	$683.33	$683.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $683.33 / $683.33 / $683.33	Facility		$683.33	$683.33	$683.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $683.33 / $683.33	Professional		$649.16	$683.33	$683.33
United Facility/Professional Professional Modifier Low / Median / High Price $683.34 / $683.34 / $820.01	Professional		$683.34	$683.34	$820.01