Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $1,357.27 / $1,859.38	Facility		$784.55	$1,357.27	$1,859.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.09 / $784.55 / $965.27	Professional		$766.09	$784.55	$965.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $876.85 / $3,300.00	Facility		$0.77	$876.85	$3,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $876.85 / $876.85 / $4,153.50	Professional		$876.85	$876.85	$4,153.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.55 / $784.55 / $1,682.32	Facility		$784.55	$784.55	$1,682.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.55 / $784.55 / $784.55	Professional		$784.55	$784.55	$784.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $7.05 / $677.07	Facility		$2.27	$7.05	$677.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.91 / $731.91 / $731.91	Professional		$731.91	$731.91	$731.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $79,999.20 / $79,999.20	Facility		$1.00	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Facility		$876.85	$876.85	$876.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.85 / $876.85 / $876.85	Professional		$876.85	$876.85	$876.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $709.32 / $922.12	Facility		$0.77	$709.32	$922.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $833.01 / $876.85 / $876.85	Professional		$833.01	$876.85	$876.85
United Facility/Professional Facility Modifier Low / Median / High Price $769.17 / $769.17 / $769.17	Facility		$769.17	$769.17	$769.17
United Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $923.00	Professional		$769.17	$769.17	$923.00