Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.02 / $10,596.56 / $22,024.00	Facility		$845.02	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.42 / $769.08 / $927.33	Professional		$512.42	$769.08	$927.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,816.01 / $24,075.80 / $46,054.28	Facility		$15,816.01	$24,075.80	$46,054.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $673.60 / $1,057.67 / $5,060.01	Professional		$673.60	$1,057.67	$5,060.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,574.09 / $16,574.09 / $16,574.09	Facility		$16,574.09	$16,574.09	$16,574.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,332.37 / $14,534.94 / $38,471.14	Facility		$8,332.37	$14,534.94	$38,471.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.65 / $10,477.90 / $19,940.55	Professional		$1,136.65	$10,477.90	$19,940.55
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 $611.04 / $8,366.14 / $11,665.06	Facility		$611.04	$8,366.14	$11,665.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.73 / $507.73 / $1,092.18	Facility		$507.73	$507.73	$1,092.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.16 / $1,041.33 / $1,913.44	Professional		$663.16	$1,041.33	$1,913.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,567.73 / $24,075.80 / $46,054.28	Facility		$17,567.73	$24,075.80	$46,054.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $598.27 / $768.81 / $1,113.88	Professional		$598.27	$768.81	$1,113.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.48 / $1,181.39 / $2,101.91	Professional		$802.48	$1,181.39	$2,101.91