Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,963.37 / $16,269.40 / $34,273.40	Facility		$4,963.37	$16,269.40	$34,273.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,291.50 / $4,911.12 / $5,067.85	Professional		$3,291.50	$4,911.12	$5,067.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,485.83 / $8,359.36 / $18,286.09	Facility		$5,485.83	$8,359.36	$18,286.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $12,147.93 / $39,184.50	Professional		$4,702.14	$12,147.93	$39,184.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,433.58 / $11,105.91 / $13,490.57	Facility		$5,433.58	$11,105.91	$13,490.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,702.14 / $5,224.60 / $13,061.50	Facility		$4,702.14	$5,224.60	$13,061.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $5,224.60 / $13,061.50	Professional		$4,702.14	$5,224.60	$13,061.50
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 $5,224.60 / $5,224.60 / $7,314.44	Facility		$5,224.60	$5,224.60	$7,314.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,224.60 / $9,090.79 / $15,673.80	Facility		$5,224.60	$9,090.79	$15,673.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,702.14 / $6,530.75 / $7,889.15	Professional		$4,702.14	$6,530.75	$7,889.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,485.83 / $8,359.36 / $14,367.65	Facility		$5,485.83	$8,359.36	$14,367.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,778.41 / $10,209.28 / $12,796.94	Professional		$5,778.41	$10,209.28	$12,796.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,194.33 / $2,194.33 / $5,851.55	Professional		$2,194.33	$2,194.33	$5,851.55