Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,459.60 / $4,670.39 / $7,415.19	Professional		$4,459.60	$4,670.39	$7,415.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $282.45 / $42,593.27 / $42,593.27	Facility		$282.45	$42,593.27	$42,593.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,999.00 / $5,191.39 / $11,502.81	Professional		$3,999.00	$5,191.39	$11,502.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,410.99 / $6,410.99 / $6,410.99	Facility		$6,410.99	$6,410.99	$6,410.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.11 / $5,449.34 / $6,410.99	Professional		$761.11	$5,449.34	$6,410.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,883.00 / $5,883.00 / $5,883.00	Facility		$5,883.00	$5,883.00	$5,883.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,883.00 / $5,883.00 / $5,883.00	Professional		$5,883.00	$5,883.00	$5,883.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,486.65 / $15,211.01 / $15,897.16	Facility		$12,486.65	$15,211.01	$15,897.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,486.65 / $15,211.01 / $15,211.01	Professional		$12,486.65	$15,211.01	$15,211.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.72 / $819.72 / $819.72	Facility		$819.72	$819.72	$819.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.04 / $5,642.37 / $9,852.51	Professional		$831.04	$5,642.37	$9,852.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $764.73 / $764.73 / $931.14	Professional		$764.73	$764.73	$931.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,844.44 / $2,960.16 / $5,465.13	Professional		$2,844.44	$2,960.16	$5,465.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,473.45 / $7,473.45 / $7,473.45	Professional		$7,473.45	$7,473.45	$7,473.45