Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.60 / $510.00 / $1,277.63	Facility		$267.60	$510.00	$1,277.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $603.00	Professional		$318.75	$318.75	$603.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $832.47 / $1,131.83 / $2,202.11	Facility		$832.47	$1,131.83	$2,202.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $311.38 / $699.50	Professional		$84.18	$311.38	$699.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.53 / $1,019.25 / $1,796.10	Facility		$456.53	$1,019.25	$1,796.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,471.54 / $1,471.54 / $1,471.54	Professional		$1,471.54	$1,471.54	$1,471.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $1,002.46 / $2,149.23	Facility		$376.09	$1,002.46	$2,149.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,536.87 / $1,536.87 / $1,536.87	Professional		$1,536.87	$1,536.87	$1,536.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.00 / $931.00 / $79,999.20	Facility		$581.00	$931.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $414.81 / $414.81 / $414.81	Facility		$414.81	$414.81	$414.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $832.47 / $1,131.83 / $2,084.75	Facility		$832.47	$1,131.83	$2,084.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $190.54 / $428.72	Professional		$190.54	$190.54	$428.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,015.21 / $1,324.69 / $2,081.85	Facility		$1,015.21	$1,324.69	$2,081.85