Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,395.34 / $6,396.75 / $10,082.25	Professional		$6,395.34	$6,396.75	$10,082.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,120.25 / $8,589.12	Facility		$100.00	$1,120.25	$8,589.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,377.51 / $7,082.60 / $12,493.70	Professional		$5,377.51	$7,082.60	$12,493.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $5,109.46	Facility		$5,109.46	$5,109.46	$5,109.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.41 / $4,343.04 / $14,831.25	Professional		$949.41	$4,343.04	$14,831.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,529.00 / $8,529.00 / $8,529.00	Facility		$8,529.00	$8,529.00	$8,529.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,529.00 / $8,529.00 / $8,529.00	Professional		$8,529.00	$8,529.00	$8,529.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,325.62 / $7,496.21 / $9,162.04	Professional		$6,325.62	$7,496.21	$9,162.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,212.63 / $7,212.63 / $7,212.63	Facility		$7,212.63	$7,212.63	$7,212.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,212.63 / $7,212.63 / $7,212.63	Professional		$7,212.63	$7,212.63	$7,212.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,120.25 / $1,120.25 / $1,120.25	Facility		$1,120.25	$1,120.25	$1,120.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,082.60 / $12,493.70 / $14,367.76	Professional		$7,082.60	$12,493.70	$14,367.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $863.89 / $863.89 / $1,051.86	Professional		$863.89	$863.89	$1,051.86
United Facility/Professional Professional Modifier Low / Median / High Price $3,344.04 / $3,616.80 / $6,900.33	Professional		$3,344.04	$3,616.80	$6,900.33