Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,587.72 / $4,588.75 / $7,232.58	Professional		$4,587.72	$4,588.75	$7,232.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,161.32 / $6,161.32	Facility		$100.00	$6,161.32	$6,161.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,857.49 / $4,841.07 / $8,962.40	Professional		$3,857.49	$4,841.07	$8,962.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $3,087.00	Facility		$3,087.00	$3,087.00	$3,087.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $3,087.00 / $3,790.53	Professional		$2,623.95	$3,087.00	$3,790.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,118.33 / $6,118.33 / $6,118.33	Facility		$6,118.33	$6,118.33	$6,118.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,118.33 / $6,118.33 / $6,118.33	Professional		$6,118.33	$6,118.33	$6,118.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,537.68 / $5,377.43 / $6,572.42	Professional		$4,537.68	$5,377.43	$6,572.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,174.10 / $5,174.10 / $5,174.10	Facility		$5,174.10	$5,174.10	$5,174.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,174.10 / $5,174.10 / $5,174.10	Professional		$5,174.10	$5,174.10	$5,174.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.62 / $803.62 / $803.62	Facility		$803.62	$803.62	$803.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,618.04 / $8,693.53 / $9,172.07	Professional		$7,618.04	$8,693.53	$9,172.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $619.72 / $619.72 / $754.57	Professional		$619.72	$619.72	$754.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.92 / $2,594.52 / $4,950.00	Professional		$2,398.92	$2,594.52	$4,950.00