Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,703.36 / $8,705.35 / $13,720.86	Professional		$8,703.36	$8,705.35	$13,720.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,524.54 / $11,688.69	Facility		$100.00	$1,524.54	$11,688.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,318.08 / $9,638.60 / $17,002.59	Professional		$7,318.08	$9,638.60	$17,002.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,694.63 / $10,694.63 / $10,694.63	Facility		$10,694.63	$10,694.63	$10,694.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,292.04 / $9,090.44 / $10,694.63	Professional		$1,292.04	$9,090.44	$10,694.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11,607.13 / $11,607.13 / $11,607.13	Facility		$11,607.13	$11,607.13	$11,607.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,607.13 / $11,607.13 / $11,607.13	Professional		$11,607.13	$11,607.13	$11,607.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,608.50 / $10,201.56 / $12,468.57	Professional		$8,608.50	$10,201.56	$12,468.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,815.53 / $9,815.53 / $9,815.53	Facility		$9,815.53	$9,815.53	$9,815.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,815.53 / $9,815.53 / $9,815.53	Professional		$9,815.53	$9,815.53	$9,815.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,524.54 / $1,524.54 / $1,524.54	Facility		$1,524.54	$1,524.54	$1,524.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,638.60 / $17,002.59 / $19,552.99	Professional		$9,638.60	$17,002.59	$19,552.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,175.65 / $1,175.65 / $1,431.47	Professional		$1,175.65	$1,175.65	$1,431.47
United Facility/Professional Professional Modifier Low / Median / High Price $4,550.84 / $4,922.04 / $9,390.60	Professional		$4,550.84	$4,922.04	$9,390.60