Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,665.40 / $2,147.34 / $3,421.26	Professional		$1,665.40	$2,147.34	$3,421.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,879.47 / $4,879.47	Facility		$100.00	$4,879.47	$4,879.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $601.88 / $2,224.88 / $4,924.43	Professional		$601.88	$2,224.88	$4,924.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.69 / $2,290.69 / $3,236.31	Facility		$2,290.69	$2,290.69	$3,236.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,947.10 / $2,290.69 / $3,236.31	Professional		$1,947.10	$2,290.69	$3,236.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,239.19 / $2,239.19 / $2,239.19	Facility		$2,239.19	$2,239.19	$2,239.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,239.19 / $2,239.19 / $2,239.19	Professional		$2,239.19	$2,239.19	$2,239.19
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 $376.76 / $376.76 / $376.76	Facility		$376.76	$376.76	$376.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,261.00 / $3,750.15 / $3,898.90	Professional		$3,261.00	$3,750.15	$3,898.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.81 / $490.81 / $597.61	Professional		$490.81	$490.81	$597.61
United Facility/Professional Facility Modifier Low / Median / High Price $190.48 / $280.23 / $2,829.98	Facility		$190.48	$280.23	$2,829.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.32 / $1,741.56 / $2,658.73	Professional		$1,385.32	$1,741.56	$2,658.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,969.78 / $3,969.78 / $3,969.78	Professional		$3,969.78	$3,969.78	$3,969.78