Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $1,372.62 / $1,880.41	Facility		$793.42	$1,372.62	$1,880.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.08 / $793.42 / $802.75	Professional		$756.08	$793.42	$802.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $806.14 / $1,047.98 / $3,547.04	Facility		$806.14	$1,047.98	$3,547.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $886.76 / $3,547.03 / $4,200.43	Professional		$886.76	$3,547.03	$4,200.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $2,150.39	Facility		$793.42	$793.42	$2,150.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $732.86 / $2,170.73 / $6,705.67	Facility		$732.86	$2,170.73	$6,705.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,072.17 / $79,999.20 / $79,999.20	Facility		$1,072.17	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $685.22 / $1,193.08 / $2,257.19	Facility		$685.22	$1,193.08	$2,257.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.76 / $886.76 / $886.76	Professional		$886.76	$886.76	$886.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $806.14 / $1,007.68 / $1,047.98	Facility		$806.14	$1,007.68	$1,047.98
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $933.43	Professional		$777.86	$777.86	$933.43