Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.40 / $1,978.32 / $3,165.39	Professional		$1,665.40	$1,978.32	$3,165.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.10 / $3,307.70	Facility		$100.00	$114.10	$3,307.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,559.22 / $2,224.88 / $4,546.60	Professional		$1,559.22	$2,224.88	$4,546.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,592.00	Facility		$2,592.00	$2,592.00	$2,592.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $2,592.00 / $3,373.90	Professional		$296.08	$2,592.00	$3,373.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,225.92 / $2,225.92 / $2,225.92	Facility		$2,225.92	$2,225.92	$2,225.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,225.92 / $2,225.92 / $2,225.92	Professional		$2,225.92	$2,225.92	$2,225.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.15 / $347.15 / $347.15	Facility		$347.15	$347.15	$347.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.71 / $3,241.70 / $6,997.07	Professional		$699.71	$3,241.70	$6,997.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $403.45 / $491.24	Professional		$403.45	$403.45	$491.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,277.72 / $1,561.76 / $2,453.46	Professional		$1,277.72	$1,561.76	$2,453.46