Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,487.00 / $2,812.74 / $4,442.49	Professional		$2,487.00	$2,812.74	$4,442.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $493.61 / $5,253.74	Facility		$100.00	$493.61	$5,253.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,321.19 / $3,323.20 / $6,565.68	Professional		$2,321.19	$3,323.20	$6,565.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,657.49 / $3,657.49 / $3,657.49	Facility		$3,657.49	$3,657.49	$3,657.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.92 / $3,108.87 / $3,657.49	Professional		$435.92	$3,108.87	$3,657.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,316.00 / $3,316.00 / $3,316.00	Facility		$3,316.00	$3,316.00	$3,316.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,316.00 / $3,316.00 / $3,316.00	Professional		$3,316.00	$3,316.00	$3,316.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,141.18 / $4,141.18 / $4,141.18	Facility		$4,141.18	$4,141.18	$4,141.18
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,141.18 / $4,141.18 / $4,141.18	Professional		$4,141.18	$4,141.18	$4,141.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.61 / $493.61 / $493.61	Facility		$493.61	$493.61	$493.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.02 / $4,104.82 / $5,553.58	Professional		$995.02	$4,104.82	$5,553.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $528.41 / $643.40	Professional		$528.41	$528.41	$643.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,866.56 / $2,045.48 / $3,585.67	Professional		$1,866.56	$2,045.48	$3,585.67