Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $701.25	Facility		$425.00	$425.00	$701.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $425.00 / $603.00	Professional		$250.00	$425.00	$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 $8.01 / $88.62 / $428.72	Professional		$8.01	$88.62	$428.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.53 / $987.61 / $1,353.27	Facility		$456.53	$987.61	$1,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,717.98 / $1,717.98 / $1,717.98	Professional		$1,717.98	$1,717.98	$1,717.98
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
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.17 / $931.00 / $79,999.20	Facility		$298.17	$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 / $1,110.61 / $2,084.75	Facility		$832.47	$1,110.61	$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