Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,384.32 / $10,700.00 / $22,024.00	Facility		$4,384.32	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.79 / $4,384.32 / $11,824.21	Professional		$648.79	$4,384.32	$11,824.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20,135.12 / $31,176.05 / $61,646.27	Facility		$20,135.12	$31,176.05	$61,646.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,473.77 / $15,728.31 / $62,888.63	Professional		$7,473.77	$15,728.31	$62,888.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,258.49 / $31,442.55 / $89,234.73	Facility		$10,258.49	$31,442.55	$89,234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23,271.89 / $23,271.89 / $23,271.89	Professional		$23,271.89	$23,271.89	$23,271.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.74 / $7,965.13 / $10,701.93	Facility		$419.74	$7,965.13	$10,701.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,328.18 / $7,328.18 / $9,847.89	Facility		$7,328.18	$7,328.18	$9,847.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,847.89 / $12,862.60 / $19,547.09	Professional		$9,847.89	$12,862.60	$19,547.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,326.97 / $31,176.05 / $59,636.26	Facility		$22,326.97	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,473.77 / $16,737.75 / $24,119.25	Professional		$7,473.77	$16,737.75	$24,119.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,318.00 / $11,177.86 / $24,236.00	Facility		$6,318.00	$11,177.86	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $705.59 / $1,945.48 / $32,400.79	Professional		$705.59	$1,945.48	$32,400.79