Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,343.08 / $1,579.73 / $3,127.87	Professional		$1,343.08	$1,579.73	$3,127.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $14,043.28 / $14,043.28	Facility		$231.34	$14,043.28	$14,043.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $1,800.00 / $3,318.20	Professional		$296.70	$1,800.00	$3,318.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,518.77 / $1,786.79 / $2,345.16	Professional		$1,518.77	$1,786.79	$2,345.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,160.19 / $3,160.19 / $3,160.19	Facility		$3,160.19	$3,160.19	$3,160.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,160.19 / $3,160.19 / $3,160.19	Professional		$3,160.19	$3,160.19	$3,160.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $2,499.33 / $3,160.19	Professional		$60.00	$2,499.33	$3,160.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,623.20 / $3,086.12 / $3,160.19	Facility		$2,623.20	$3,086.12	$3,160.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,686.16 / $3,160.19 / $3,476.21	Professional		$2,686.16	$3,160.19	$3,476.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.34 / $2,767.17 / $2,767.17	Facility		$231.34	$2,767.17	$2,767.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.70 / $3,158.31 / $3,549.04	Professional		$296.70	$3,158.31	$3,549.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,086.12 / $3,086.12 / $3,086.12	Facility		$3,086.12	$3,086.12	$3,086.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.39 / $178.39 / $217.21	Professional		$178.39	$178.39	$217.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.02 / $1,340.09 / $2,556.71	Professional		$1,239.02	$1,340.09	$2,556.71