Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,060.46 / $5,318.25 / $8,319.33	Professional		$5,060.46	$5,318.25	$8,319.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $888.24 / $7,692.94	Facility		$100.00	$888.24	$7,692.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,494.80 / $5,410.62 / $12,605.12	Professional		$4,494.80	$5,410.62	$12,605.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,608.68 / $7,608.68 / $7,608.68	Facility		$7,608.68	$7,608.68	$7,608.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $906.70 / $6,467.38 / $7,608.68	Professional		$906.70	$6,467.38	$7,608.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,557.67 / $6,557.67 / $6,557.67	Facility		$6,557.67	$6,557.67	$6,557.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,557.67 / $6,557.67 / $6,557.67	Professional		$6,557.67	$6,557.67	$6,557.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,733.28 / $5,785.12 / $8,206.44	Professional		$4,733.28	$5,785.12	$8,206.44
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 $888.24 / $888.24 / $888.24	Facility		$888.24	$888.24	$888.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,410.62 / $8,117.50 / $17,909.11	Professional		$5,410.62	$8,117.50	$17,909.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $773.79 / $773.79 / $942.17	Professional		$773.79	$773.79	$942.17
United Facility/Professional Professional Modifier Low / Median / High Price $2,995.28 / $3,357.32 / $6,453.73	Professional		$2,995.28	$3,357.32	$6,453.73