Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,224.56 / $5,225.75 / $8,236.53	Professional		$5,224.56	$5,225.75	$8,236.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $915.17 / $7,016.64	Facility		$100.00	$915.17	$7,016.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,000.00 / $6,869.60 / $10,206.50	Professional		$4,000.00	$6,869.60	$10,206.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $3,818.66	Facility		$3,818.66	$3,818.66	$3,818.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.60 / $3,245.86 / $4,604.04	Professional		$775.60	$3,245.86	$4,604.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,967.67 / $6,967.67 / $6,967.67	Facility		$6,967.67	$6,967.67	$6,967.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,967.67 / $6,967.67 / $6,967.67	Professional		$6,967.67	$6,967.67	$6,967.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,167.62 / $6,123.89 / $7,484.76	Professional		$5,167.62	$6,123.89	$7,484.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,892.19 / $5,892.19 / $5,892.19	Facility		$5,892.19	$5,892.19	$5,892.19
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,892.19 / $5,892.19 / $5,892.19	Professional		$5,892.19	$5,892.19	$5,892.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.17 / $915.17 / $915.17	Facility		$915.17	$915.17	$915.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.36 / $9,334.73 / $18,403.62	Professional		$1,840.36	$9,334.73	$18,403.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $705.74 / $705.74 / $859.31	Professional		$705.74	$705.74	$859.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,731.84 / $2,954.68 / $5,637.13	Professional		$2,731.84	$2,954.68	$5,637.13