Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.13 / $7,624.82 / $16,062.60	Facility		$2,326.13	$7,624.82	$16,062.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,542.59 / $2,301.65 / $2,375.10	Professional		$1,542.59	$2,301.65	$2,375.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $3,917.70 / $8,569.95	Facility		$2,570.98	$3,917.70	$8,569.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $6,035.60 / $18,364.20	Professional		$2,203.69	$6,035.60	$18,364.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,546.50 / $5,204.88 / $6,322.47	Facility		$2,546.50	$5,204.88	$6,322.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,203.69 / $2,448.56 / $6,121.40	Facility		$2,203.69	$2,448.56	$6,121.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,448.56 / $6,121.40	Professional		$2,203.69	$2,448.56	$6,121.40
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 $2,448.56 / $2,448.56 / $3,427.98	Facility		$2,448.56	$2,448.56	$3,427.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $4,260.49 / $7,345.68	Facility		$2,448.56	$4,260.49	$7,345.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $3,060.70 / $3,697.33	Professional		$2,203.69	$3,060.70	$3,697.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $3,917.70 / $6,733.54	Facility		$2,570.98	$3,917.70	$6,733.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,708.11 / $4,784.93 / $5,997.58	Professional		$2,708.11	$4,784.93	$5,997.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $2,742.39	Professional		$1,028.40	$1,028.40	$2,742.39