Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,039.74 / $2,057.35 / $4,586.38	Professional		$2,039.74	$2,057.35	$4,586.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $19,176.53 / $19,176.53	Facility		$361.13	$19,176.53	$19,176.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,257.26 / $3,361.36 / $4,554.75	Professional		$2,257.26	$3,361.36	$4,554.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $2,672.64	Facility		$2,672.64	$2,672.64	$2,672.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $3,507.84	Professional		$2,271.73	$2,672.64	$3,507.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,079.47 / $4,079.47 / $4,079.47	Facility		$4,079.47	$4,079.47	$4,079.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,079.47 / $4,079.47 / $4,079.47	Professional		$4,079.47	$4,079.47	$4,079.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,529.00 / $2,937.22 / $3,485.37	Professional		$2,529.00	$2,937.22	$3,485.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,825.43 / $4,079.47 / $4,487.42	Facility		$3,825.43	$4,079.47	$4,487.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,079.47 / $4,079.47 / $4,250.47	Professional		$4,079.47	$4,079.47	$4,250.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.13 / $3,611.32 / $3,611.32	Facility		$361.13	$3,611.32	$3,611.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,366.55 / $3,671.60 / $4,554.75	Professional		$3,366.55	$3,671.60	$4,554.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,960.65 / $3,960.65 / $3,960.65	Facility		$3,960.65	$3,960.65	$3,960.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.56 / $298.56 / $363.53	Professional		$298.56	$298.56	$363.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,733.57 / $2,047.28 / $3,936.08	Professional		$1,733.57	$2,047.28	$3,936.08