Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,929.16 / $6,354.78 / $10,018.35	Professional		$4,929.16	$6,354.78	$10,018.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,113.15 / $8,534.45	Facility		$100.00	$1,113.15	$8,534.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,850.00 / $9,358.74 / $11,971.02	Professional		$4,850.00	$9,358.74	$11,971.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,300.15 / $5,300.15 / $5,406.15	Facility		$5,300.15	$5,300.15	$5,406.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,505.13 / $5,300.15 / $6,350.40	Professional		$4,505.13	$5,300.15	$6,350.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,474.93 / $8,474.93 / $8,474.93	Facility		$8,474.93	$8,474.93	$8,474.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,474.93 / $8,474.93 / $8,474.93	Professional		$8,474.93	$8,474.93	$8,474.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,285.53 / $7,448.69 / $9,103.96	Professional		$6,285.53	$7,448.69	$9,103.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,166.94 / $7,166.94 / $7,166.94	Facility		$7,166.94	$7,166.94	$7,166.94
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,166.94 / $7,166.94 / $7,166.94	Professional		$7,166.94	$7,166.94	$7,166.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,113.15 / $1,113.15 / $1,113.15	Facility		$1,113.15	$1,113.15	$1,113.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,037.60 / $10,552.33 / $22,384.82	Professional		$7,037.60	$10,552.33	$22,384.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $858.42 / $858.42 / $1,045.21	Professional		$858.42	$858.42	$1,045.21
United Facility/Professional Professional Modifier Low / Median / High Price $3,322.84 / $3,593.88 / $6,856.60	Professional		$3,322.84	$3,593.88	$6,856.60