Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,803.60 / $10,806.00 / $17,031.87	Professional		$10,803.60	$10,806.00	$17,031.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,892.43 / $14,509.39	Facility		$100.00	$1,892.43	$14,509.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $9,084.07 / $15,910.41 / $21,105.50	Professional		$9,084.07	$15,910.41	$21,105.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,275.38 / $13,275.38 / $13,275.38	Facility		$13,275.38	$13,275.38	$13,275.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,603.83 / $11,284.07 / $13,275.38	Professional		$1,603.83	$11,284.07	$13,275.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14,408.00 / $14,408.00 / $14,408.00	Facility		$14,408.00	$14,408.00	$14,408.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,408.00 / $14,408.00 / $14,408.00	Professional		$14,408.00	$14,408.00	$14,408.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $2,161.19 / $11,165.20	Professional		$60.00	$2,161.19	$11,165.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,184.26 / $12,184.26 / $12,184.26	Facility		$12,184.26	$12,184.26	$12,184.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,184.26 / $12,184.26 / $12,184.26	Professional		$12,184.26	$12,184.26	$12,184.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,892.43 / $1,892.43 / $1,892.43	Facility		$1,892.43	$1,892.43	$1,892.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,805.58 / $21,599.24 / $24,271.32	Professional		$3,805.58	$21,599.24	$24,271.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,459.37 / $1,459.37 / $1,776.93	Professional		$1,459.37	$1,459.37	$1,776.93
United Facility/Professional Professional Modifier Low / Median / High Price $5,649.08 / $6,109.84 / $11,583.30	Professional		$5,649.08	$6,109.84	$11,583.30