Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,722.55 / $6,365.88 / $10,054.79	Professional		$5,722.55	$6,365.88	$10,054.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,117.20 / $11,518.64	Facility		$100.00	$1,117.20	$11,518.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,341.04 / $7,422.67 / $15,107.53	Professional		$5,341.04	$7,422.67	$15,107.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,391.94 / $8,391.94 / $8,391.94	Facility		$8,391.94	$8,391.94	$8,391.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.19 / $7,133.15 / $13,267.50	Professional		$1,000.19	$7,133.15	$13,267.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,630.07 / $7,630.07 / $7,630.07	Facility		$7,630.07	$7,630.07	$7,630.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,630.07 / $7,630.07 / $7,630.07	Professional		$7,630.07	$7,630.07	$7,630.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,079.26 / $9,079.26 / $9,079.26	Facility		$9,079.26	$9,079.26	$9,079.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,079.26 / $9,079.26 / $9,079.26	Professional		$9,079.26	$9,079.26	$9,079.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.20 / $1,117.20 / $1,117.20	Facility		$1,117.20	$1,117.20	$1,117.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,252.12 / $9,444.95 / $12,778.46	Professional		$2,252.12	$9,444.95	$12,778.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,158.53 / $1,158.53 / $1,410.63	Professional		$1,158.53	$1,158.53	$1,410.63
United Facility/Professional Professional Modifier Low / Median / High Price $4,224.28 / $4,484.56 / $8,115.73	Professional		$4,224.28	$4,484.56	$8,115.73