Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,569.70 / $6,571.15 / $10,357.11	Professional		$6,569.70	$6,571.15	$10,357.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,150.79 / $8,823.10	Facility		$100.00	$1,150.79	$8,823.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,475.94 / $6,932.40 / $12,834.30	Professional		$1,475.94	$6,932.40	$12,834.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,072.81 / $8,072.81 / $8,072.81	Facility		$8,072.81	$8,072.81	$8,072.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.29 / $6,861.89 / $8,072.81	Professional		$975.29	$6,861.89	$8,072.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,761.53 / $8,761.53 / $8,761.53	Facility		$8,761.53	$8,761.53	$8,761.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,761.53 / $8,761.53 / $8,761.53	Professional		$8,761.53	$8,761.53	$8,761.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,498.06 / $7,700.58 / $9,411.82	Professional		$6,498.06	$7,700.58	$9,411.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,409.24 / $7,409.24 / $7,409.24	Facility		$7,409.24	$7,409.24	$7,409.24
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,409.24 / $7,409.24 / $7,409.24	Professional		$7,409.24	$7,409.24	$7,409.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,150.79 / $1,150.79 / $1,150.79	Facility		$1,150.79	$1,150.79	$1,150.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,314.17 / $12,834.30 / $14,759.44	Professional		$2,314.17	$12,834.30	$14,759.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $887.43 / $887.43 / $1,080.53	Professional		$887.43	$887.43	$1,080.53
United Facility/Professional Professional Modifier Low / Median / High Price $3,435.20 / $3,715.40 / $7,088.47	Professional		$3,435.20	$3,715.40	$7,088.47