Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,771.80 / $4,772.85 / $7,522.74	Professional		$4,771.80	$4,772.85	$7,522.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,408.42 / $6,408.42	Facility		$100.00	$6,408.42	$6,408.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $5,433.60 / $8,631.51	Professional		$4,000.00	$5,433.60	$8,631.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $3,969.00	Facility		$3,969.00	$3,969.00	$3,969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.38 / $3,373.65 / $11,066.25	Professional		$708.38	$3,373.65	$11,066.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,363.80 / $6,363.80 / $6,363.80	Facility		$6,363.80	$6,363.80	$6,363.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,363.80 / $6,363.80 / $6,363.80	Professional		$6,363.80	$6,363.80	$6,363.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,719.78 / $5,593.20 / $6,836.13	Professional		$4,719.78	$5,593.20	$6,836.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,381.43 / $5,381.43 / $5,381.43	Facility		$5,381.43	$5,381.43	$5,381.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,381.43 / $5,381.43 / $5,381.43	Professional		$5,381.43	$5,381.43	$5,381.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.86 / $835.86 / $835.86	Facility		$835.86	$835.86	$835.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.20 / $7,923.70 / $10,720.30	Professional		$932.20	$7,923.70	$10,720.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $644.55 / $784.82	Professional		$644.55	$644.55	$784.82
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $534.91 / $3,566.08	Facility		$6.46	$534.91	$3,566.08
United Facility/Professional Professional Modifier Low / Median / High Price $2,495.04 / $2,698.60 / $5,148.60	Professional		$2,495.04	$2,698.60	$5,148.60