Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,727.25 / $4,165.02 / $6,578.55	Professional		$3,727.25	$4,165.02	$6,578.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $730.95 / $7,602.76	Facility		$100.00	$730.95	$7,602.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,478.76 / $4,874.20 / $9,839.94	Professional		$3,478.76	$4,874.20	$9,839.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,470.13 / $5,470.13 / $5,470.13	Facility		$5,470.13	$5,470.13	$5,470.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.96 / $4,649.60 / $6,026.40	Professional		$651.96	$4,649.60	$6,026.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,969.67 / $4,969.67 / $4,969.67	Facility		$4,969.67	$4,969.67	$4,969.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,969.67 / $4,969.67 / $4,969.67	Professional		$4,969.67	$4,969.67	$4,969.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,992.99 / $5,992.99 / $5,992.99	Facility		$5,992.99	$5,992.99	$5,992.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,992.99 / $5,992.99 / $5,992.99	Professional		$5,992.99	$5,992.99	$5,992.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.95 / $730.95 / $730.95	Facility		$730.95	$730.95	$730.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.49 / $6,151.79 / $8,323.01	Professional		$1,473.49	$6,151.79	$8,323.01
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 $2,763.88 / $2,960.16 / $5,309.87	Professional		$2,763.88	$2,960.16	$5,309.87