Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,277.01 / $13,147.68 / $23,856.49	Facility		$2,277.01	$13,147.68	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.22 / $2,277.01 / $4,404.71	Professional		$1,648.22	$2,277.01	$4,404.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22,640.22 / $36,606.86 / $70,860.36	Facility		$22,640.22	$36,606.86	$70,860.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,001.61 / $4,853.26 / $18,964.43	Professional		$3,001.61	$4,853.26	$18,964.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44,948.87 / $46,833.03 / $112,680.05	Facility		$44,948.87	$46,833.03	$112,680.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,647.57 / $6,647.57 / $6,647.57	Professional		$6,647.57	$6,647.57	$6,647.57
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 $1,344.01 / $1,986.23 / $4,353.66	Facility		$1,344.01	$1,986.23	$4,353.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,943.14 / $2,943.14 / $2,969.59	Facility		$2,943.14	$2,943.14	$2,969.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,245.75 / $4,724.05 / $5,894.34	Professional		$3,245.75	$4,724.05	$5,894.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,001.61 / $4,139.24 / $5,723.21	Professional		$3,001.61	$4,139.24	$5,723.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,852.07 / $3,768.83 / $7,384.91	Professional		$1,852.07	$3,768.83	$7,384.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,862.13 / $1,862.13 / $2,263.03	Professional		$1,862.13	$1,862.13	$2,263.03