Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,213.39 / $10,278.29 / $16,272.10	Facility		$3,213.39	$10,278.29	$16,272.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.86 / $1,595.30 / $1,595.30	Professional		$1,207.86	$1,595.30	$1,595.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,392.94 / $3,646.40 / $7,976.50	Facility		$2,392.94	$3,646.40	$7,976.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,051.10 / $4,668.82 / $17,092.50	Professional		$2,051.10	$4,668.82	$17,092.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,370.16 / $4,844.46 / $5,884.66	Facility		$2,370.16	$4,844.46	$5,884.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,051.10 / $2,279.00 / $5,697.50	Facility		$2,051.10	$2,279.00	$5,697.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,051.10 / $2,279.00 / $5,697.50	Professional		$2,051.10	$2,279.00	$5,697.50
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 $2,279.00 / $2,279.00 / $3,190.60	Facility		$2,279.00	$2,279.00	$3,190.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $3,988.25 / $6,837.00	Facility		$2,279.00	$3,988.25	$6,837.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,051.10 / $2,848.75 / $3,441.29	Professional		$2,051.10	$2,848.75	$3,441.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,392.94 / $3,646.40 / $6,267.25	Facility		$2,392.94	$3,646.40	$6,267.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,520.57 / $4,435.38 / $5,298.80	Professional		$2,520.57	$4,435.38	$5,298.80
United Facility/Professional Professional Modifier Low / Median / High Price $957.18 / $957.18 / $2,552.48	Professional		$957.18	$957.18	$2,552.48