Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,601.60 / $3,064.32 / $4,825.26	Professional		$2,601.60	$3,064.32	$4,825.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,872.68 / $5,872.68	Facility		$100.00	$5,872.68	$5,872.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $719.21 / $3,801.27 / $7,243.90	Professional		$719.21	$3,801.27	$7,243.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $2,187.00	Facility		$2,187.00	$2,187.00	$2,187.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.09 / $2,187.00 / $4,046.01	Professional		$455.09	$2,187.00	$4,046.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,562.40 / $3,562.40 / $3,562.40	Facility		$3,562.40	$3,562.40	$3,562.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,562.40 / $3,562.40 / $3,562.40	Professional		$3,562.40	$3,562.40	$3,562.40
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 $537.75 / $537.75 / $537.75	Facility		$537.75	$537.75	$537.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,358.43 / $5,966.20 / $6,152.16	Professional		$4,358.43	$5,966.20	$6,152.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $590.67 / $590.67 / $719.21	Professional		$590.67	$590.67	$719.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.88 / $2,235.12 / $3,584.67	Professional		$1,866.88	$2,235.12	$3,584.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,772.63 / $5,772.63 / $5,772.63	Professional		$5,772.63	$5,772.63	$5,772.63