Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.69 / $2,529.84 / $3,995.64	Professional		$2,187.69	$2,529.84	$3,995.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $443.96 / $4,920.35	Facility		$100.00	$443.96	$4,920.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.85 / $3,040.73 / $5,775.53	Professional		$2,041.85	$3,040.73	$5,775.53
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 $384.96 / $2,673.00 / $3,931.29	Professional		$384.96	$2,673.00	$3,931.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,916.93 / $2,916.93 / $2,916.93	Facility		$2,916.93	$2,916.93	$2,916.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.93 / $2,916.93 / $2,916.93	Professional		$2,916.93	$2,916.93	$2,916.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,878.51 / $3,878.51 / $3,878.51	Facility		$3,878.51	$3,878.51	$3,878.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,878.51 / $3,878.51 / $3,878.51	Professional		$3,878.51	$3,878.51	$3,878.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $443.96 / $443.96 / $443.96	Facility		$443.96	$443.96	$443.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,610.72 / $4,885.08 / $8,948.64	Professional		$3,610.72	$4,885.08	$8,948.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $494.90 / $494.90 / $602.59	Professional		$494.90	$494.90	$602.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.96 / $1,872.66 / $3,224.73	Professional		$1,678.96	$1,872.66	$3,224.73