Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,378.21 / $3,378.21 / $3,378.21	Facility		$3,378.21	$3,378.21	$3,378.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,238.00 / $2,000.00 / $3,378.21	Professional		$1,238.00	$2,000.00	$3,378.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,278.35 / $5,503.94 / $10,647.96	Facility		$4,278.35	$5,503.94	$10,647.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $907.37 / $1,552.56 / $5,746.50	Professional		$907.37	$1,552.56	$5,746.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,480.13 / $4,992.02 / $9,070.70	Facility		$2,480.13	$4,992.02	$9,070.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.21 / $1,764.68 / $2,326.61	Professional		$1,092.21	$1,764.68	$2,326.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.98 / $246.14 / $8,721.41	Facility		$117.98	$246.14	$8,721.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $232.46 / $4,106.08	Professional		$117.98	$232.46	$4,106.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.12 / $171.46 / $270.74	Professional		$31.12	$171.46	$270.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,244.38 / $1,475.89 / $1,659.05	Facility		$1,244.38	$1,475.89	$1,659.05
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,028.64 / $1,028.64 / $1,028.64	Professional		$1,028.64	$1,028.64	$1,028.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $889.69 / $889.69 / $900.75	Facility		$889.69	$889.69	$900.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,012.50 / $1,502.49 / $1,847.42	Professional		$1,012.50	$1,502.49	$1,847.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,204.14 / $5,501.00 / $10,528.42	Facility		$4,204.14	$5,501.00	$10,528.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $907.37 / $1,354.27 / $1,849.50	Professional		$907.37	$1,354.27	$1,849.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,138.52 / $3,120.05 / $6,748.19	Professional		$2,138.52	$3,120.05	$6,748.19