Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,319.51 / $1,330.58 / $2,966.22	Professional		$1,319.51	$1,330.58	$2,966.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $12,404.85 / $12,404.85	Facility		$233.56	$12,404.85	$12,404.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,458.91 / $2,024.42 / $2,902.91	Professional		$1,458.91	$2,024.42	$2,902.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,217.64	Facility		$2,217.64	$2,217.64	$2,217.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $2,217.64 / $2,269.14	Professional		$1,884.99	$2,217.64	$2,269.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,639.01 / $2,639.01 / $2,639.01	Facility		$2,639.01	$2,639.01	$2,639.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,639.01 / $2,639.01 / $2,639.01	Professional		$2,639.01	$2,639.01	$2,639.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,634.56 / $1,900.08 / $2,254.68	Professional		$1,634.56	$1,900.08	$2,254.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,473.53 / $2,639.01 / $2,902.91	Facility		$2,473.53	$2,639.01	$2,902.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,375.11 / $2,639.01 / $2,748.37	Professional		$2,375.11	$2,639.01	$2,748.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.56 / $2,335.61 / $2,335.61	Facility		$233.56	$2,335.61	$2,335.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,177.82 / $2,672.93 / $4,709.45	Professional		$2,177.82	$2,672.93	$4,709.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,562.14 / $2,562.14 / $2,562.14	Facility		$2,562.14	$2,562.14	$2,562.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.98 / $192.98 / $234.97	Professional		$192.98	$192.98	$234.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,120.45 / $1,324.07 / $2,545.65	Professional		$1,120.45	$1,324.07	$2,545.65