Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,860.96 / $10,596.56 / $22,024.00	Facility		$1,860.96	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.68 / $1,860.96 / $2,110.48	Professional		$1,128.68	$1,860.96	$2,110.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14,068.51 / $29,171.22 / $55,801.25	Facility		$14,068.51	$29,171.22	$55,801.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,461.12 / $4,536.28 / $18,312.90	Professional		$2,461.12	$4,536.28	$18,312.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,126.54 / $10,126.54 / $16,870.70	Facility		$10,126.54	$10,126.54	$16,870.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,138.40 / $3,138.40 / $3,138.40	Professional		$3,138.40	$3,138.40	$3,138.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9,096.45 / $15,431.69 / $42,828.44	Facility		$9,096.45	$15,431.69	$42,828.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,784.75 / $11,366.70 / $20,297.39	Professional		$6,784.75	$11,366.70	$20,297.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,333.59 / $9,310.94 / $14,083.07	Facility		$3,333.59	$9,310.94	$14,083.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,177.61 / $2,405.42 / $6,423.09	Facility		$2,177.61	$2,405.42	$6,423.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,495.69 / $3,768.69 / $4,536.28	Professional		$2,495.69	$3,768.69	$4,536.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,280.86 / $28,523.91 / $55,801.25	Facility		$17,280.86	$28,523.91	$55,801.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,453.21 / $5,587.03 / $8,050.97	Professional		$2,453.21	$5,587.03	$8,050.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,389.50 / $3,531.77 / $5,000.97	Professional		$2,389.50	$3,531.77	$5,000.97