Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,969.85 / $9,838.43 / $20,725.80	Facility		$2,969.85	$9,838.43	$20,725.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,990.43 / $2,969.85 / $3,064.64	Professional		$1,990.43	$2,969.85	$3,064.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,317.39 / $5,055.07 / $11,057.97	Facility		$3,317.39	$5,055.07	$11,057.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.48 / $6,567.77 / $23,695.65	Professional		$2,843.48	$6,567.77	$23,695.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,285.79 / $6,715.95 / $8,158.01	Facility		$3,285.79	$6,715.95	$8,158.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,843.48 / $3,159.42 / $7,898.55	Facility		$2,843.48	$3,159.42	$7,898.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,843.48 / $3,159.42 / $7,898.55	Professional		$2,843.48	$3,159.42	$7,898.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,843.48 / $3,475.36 / $5,528.99	Facility		$2,843.48	$3,475.36	$5,528.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,159.42 / $5,528.99 / $9,478.26	Facility		$3,159.42	$5,528.99	$9,478.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,843.48 / $3,949.28 / $4,770.72	Professional		$2,843.48	$3,949.28	$4,770.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,317.39 / $5,055.07 / $8,688.41	Facility		$3,317.39	$5,055.07	$8,688.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,494.32 / $5,830.60 / $7,738.09	Professional		$3,494.32	$5,830.60	$7,738.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,326.96 / $1,326.96 / $3,538.55	Professional		$1,326.96	$1,326.96	$3,538.55