Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,922.40 / $3,329.76 / $5,259.06	Professional		$2,922.40	$3,329.76	$5,259.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $584.34 / $6,305.50	Facility		$100.00	$584.34	$6,305.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,727.57 / $3,956.93 / $6,856.74	Professional		$2,727.57	$3,956.93	$6,856.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,303.28 / $4,303.28 / $4,303.28	Facility		$4,303.28	$4,303.28	$4,303.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $3,657.79 / $4,320.00	Professional		$512.91	$3,657.79	$4,320.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,896.53 / $3,896.53 / $3,896.53	Facility		$3,896.53	$3,896.53	$3,896.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,896.53 / $3,896.53 / $3,896.53	Professional		$3,896.53	$3,896.53	$3,896.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,970.30 / $4,970.30 / $4,970.30	Facility		$4,970.30	$4,970.30	$4,970.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,970.30 / $4,970.30 / $4,970.30	Professional		$4,970.30	$4,970.30	$4,970.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.34 / $584.34 / $584.34	Facility		$584.34	$584.34	$584.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,823.41 / $5,504.36 / $11,778.77	Professional		$4,823.41	$5,504.36	$11,778.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $634.23 / $634.23 / $772.24	Professional		$634.23	$634.23	$772.24
United Facility/Professional Professional Modifier Low / Median / High Price $2,209.71 / $2,455.00 / $4,244.60	Professional		$2,209.71	$2,455.00	$4,244.60