Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $2,228.57 / $8,292.28	Facility		$981.75	$2,228.57	$8,292.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.55 / $981.75 / $997.37	Professional		$935.55	$981.75	$997.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $917.98 / $1,212.83 / $4,331.25	Facility		$917.98	$1,212.83	$4,331.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.39 / $1,097.25 / $5,197.50	Professional		$1,042.39	$1,097.25	$5,197.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $2,326.46	Facility		$981.75	$981.75	$2,326.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $944.44 / $2,719.06 / $8,399.52	Facility		$944.44	$2,719.06	$8,399.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.74 / $1,052.74 / $1,052.74	Professional		$1,052.74	$1,052.74	$1,052.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,206.97 / $1,206.97 / $1,206.97	Professional		$1,206.97	$1,206.97	$1,206.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,097.25 / $1,097.25 / $79,999.20	Facility		$1,097.25	$1,097.25	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,097.25 / $1,097.25 / $1,097.25	Facility		$1,097.25	$1,097.25	$1,097.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.25 / $1,097.25 / $1,097.25	Professional		$1,097.25	$1,097.25	$1,097.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $917.98 / $1,097.25 / $1,781.11	Facility		$917.98	$1,097.25	$1,781.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,042.39 / $1,097.25 / $1,097.25	Professional		$1,042.39	$1,097.25	$1,097.25
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,155.00	Professional		$962.50	$962.50	$1,155.00