Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,386.10 / $2,836.98 / $4,386.51	Professional		$2,386.10	$2,836.98	$4,386.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,376.08 / $5,376.08	Facility		$100.00	$5,376.08	$5,376.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,228.05 / $3,218.70 / $6,554.86	Professional		$2,228.05	$3,218.70	$6,554.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $2,673.00	Facility		$2,673.00	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.95 / $2,673.00 / $3,470.68	Professional		$421.95	$2,673.00	$3,470.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,318.53 / $3,318.53 / $3,318.53	Facility		$3,318.53	$3,318.53	$3,318.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,318.53 / $3,318.53 / $3,318.53	Professional		$3,318.53	$3,318.53	$3,318.53
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 $497.86 / $497.86 / $497.86	Facility		$497.86	$497.86	$497.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,003.57 / $4,107.88 / $5,557.72	Professional		$1,003.57	$4,107.88	$5,557.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $540.77 / $540.77 / $658.44	Professional		$540.77	$540.77	$658.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.24 / $2,046.12 / $3,424.67	Professional		$1,783.24	$2,046.12	$3,424.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,284.85 / $5,284.85 / $5,284.85	Professional		$5,284.85	$5,284.85	$5,284.85