Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $1,343.93 / $1,841.11	Facility		$776.84	$1,343.93	$1,841.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.28 / $776.84 / $785.98	Professional		$740.28	$776.84	$785.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $789.30 / $1,026.08 / $3,472.92	Facility		$789.30	$1,026.08	$3,472.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $868.23 / $3,472.93 / $4,112.68	Professional		$868.23	$3,472.93	$4,112.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $2,105.46	Facility		$776.84	$776.84	$2,105.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $717.55 / $2,125.38 / $6,565.58	Facility		$717.55	$2,125.38	$6,565.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $599.79 / $79,999.20 / $79,999.20	Facility		$599.79	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $670.90 / $1,207.63 / $2,210.04	Facility		$670.90	$1,207.63	$2,210.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.23 / $868.23 / $868.23	Professional		$868.23	$868.23	$868.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $789.30 / $986.63 / $1,026.08	Facility		$789.30	$986.63	$1,026.08
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $913.93	Professional		$761.61	$761.61	$913.93