Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,972.91 / $5,121.84 / $8,074.62	Professional		$3,972.91	$5,121.84	$8,074.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,878.76 / $6,878.76	Facility		$100.00	$6,878.76	$6,878.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $5,404.73 / $10,005.90	Professional		$4,000.00	$5,404.73	$10,005.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.57 / $4,321.80 / $4,321.80	Facility		$775.57	$4,321.80	$4,321.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.36 / $3,673.53 / $11,880.00	Professional		$760.36	$3,673.53	$11,880.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,830.67 / $6,830.67 / $6,830.67	Facility		$6,830.67	$6,830.67	$6,830.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,830.67 / $6,830.67 / $6,830.67	Professional		$6,830.67	$6,830.67	$6,830.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,066.03 / $6,003.54 / $7,337.66	Professional		$5,066.03	$6,003.54	$7,337.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,776.46 / $5,776.46 / $5,776.46	Facility		$5,776.46	$5,776.46	$5,776.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,776.46 / $5,776.46 / $5,776.46	Professional		$5,776.46	$5,776.46	$5,776.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $897.18 / $897.18 / $897.18	Facility		$897.18	$897.18	$897.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,804.18 / $10,239.91 / $11,506.78	Professional		$1,804.18	$10,239.91	$11,506.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.87 / $691.87 / $842.42	Professional		$691.87	$691.87	$842.42
United Facility/Professional Professional Modifier Low / Median / High Price $2,678.20 / $2,896.60 / $5,526.33	Professional		$2,678.20	$2,896.60	$5,526.33