Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,256.22 / $1,306.95 / $2,059.92	Professional		$1,256.22	$1,306.95	$2,059.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $11,728.00 / $11,728.00	Facility		$100.00	$11,728.00	$11,728.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,451.07 / $1,924.11 / $2,613.90	Professional		$1,451.07	$1,924.11	$2,613.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $1,450.41	Facility		$1,450.41	$1,450.41	$1,450.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.98 / $1,232.84 / $3,030.00	Professional		$193.98	$1,232.84	$3,030.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,613.90 / $2,613.90 / $2,613.90	Facility		$2,613.90	$2,613.90	$2,613.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,613.90 / $2,613.90 / $2,613.90	Professional		$2,613.90	$2,613.90	$2,613.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,603.05 / $2,003.82 / $2,204.20	Professional		$1,603.05	$2,003.82	$2,204.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,644.30 / $4,377.27 / $4,377.27	Facility		$3,644.30	$4,377.27	$4,377.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.88 / $228.88 / $228.88	Facility		$228.88	$228.88	$228.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.26 / $2,169.71 / $4,602.62	Professional		$460.26	$2,169.71	$4,602.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.50 / $176.50 / $214.91	Professional		$176.50	$176.50	$214.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.75 / $1,100.01 / $1,833.35	Professional		$1,024.75	$1,100.01	$1,833.35