Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,269.05 / $2,623.86 / $4,144.05	Professional		$2,269.05	$2,623.86	$4,144.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $460.45 / $5,102.45	Facility		$100.00	$460.45	$5,102.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,117.78 / $2,996.51 / $5,990.29	Professional		$2,117.78	$2,996.51	$5,990.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,349.85 / $3,349.85 / $3,349.85	Facility		$3,349.85	$3,349.85	$3,349.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.28 / $2,847.37 / $3,547.80	Professional		$399.28	$2,847.37	$3,547.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,025.40 / $3,025.40 / $3,025.40	Facility		$3,025.40	$3,025.40	$3,025.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,025.40 / $3,025.40 / $3,025.40	Professional		$3,025.40	$3,025.40	$3,025.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,022.24 / $4,022.24 / $4,022.24	Facility		$4,022.24	$4,022.24	$4,022.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,022.24 / $4,022.24 / $4,022.24	Professional		$4,022.24	$4,022.24	$4,022.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.45 / $460.45 / $460.45	Facility		$460.45	$460.45	$460.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $928.11 / $4,406.00 / $9,281.08	Professional		$928.11	$4,406.00	$9,281.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $513.24 / $513.24 / $624.91	Professional		$513.24	$513.24	$624.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,741.32 / $1,986.72 / $3,344.53	Professional		$1,741.32	$1,986.72	$3,344.53