Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,272.30 / $13,665.30 / $21,634.20	Facility		$4,272.30	$13,665.30	$21,634.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.90 / $2,121.00 / $3,110.00	Professional		$1,605.90	$2,121.00	$3,110.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,181.50 / $4,848.00 / $10,605.00	Facility		$3,181.50	$4,848.00	$10,605.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,727.00 / $6,207.13 / $22,725.00	Professional		$2,727.00	$6,207.13	$22,725.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,151.20 / $6,440.86 / $7,823.84	Facility		$3,151.20	$6,440.86	$7,823.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,727.00 / $3,030.00 / $7,575.00	Facility		$2,727.00	$3,030.00	$7,575.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,727.00 / $3,030.00 / $7,575.00	Professional		$2,727.00	$3,030.00	$7,575.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $4,242.00	Facility		$3,030.00	$3,030.00	$4,242.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,030.00 / $5,302.50 / $9,090.00	Facility		$3,030.00	$5,302.50	$9,090.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,727.00 / $3,787.50 / $4,575.30	Professional		$2,727.00	$3,787.50	$4,575.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,181.50 / $4,848.00 / $8,332.50	Facility		$3,181.50	$4,848.00	$8,332.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,351.18 / $5,896.77 / $7,045.72	Professional		$3,351.18	$5,896.77	$7,045.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,272.59 / $3,393.60	Professional		$1,272.59	$1,272.59	$3,393.60