Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.24 / $12,619.36 / $25,612.66	Facility		$1,572.24	$12,619.36	$25,612.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $953.48 / $1,572.24 / $1,783.01	Professional		$953.48	$1,572.24	$1,783.01
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 $2,177.61 / $3,558.74 / $13,906.58	Professional		$2,177.61	$3,558.74	$13,906.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,384.19 / $10,384.19 / $17,299.93	Facility		$10,384.19	$10,384.19	$17,299.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $2,254.90	Professional		$2,254.90	$2,254.90	$2,254.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9,096.45 / $18,382.59 / $44,228.45	Facility		$9,096.45	$18,382.59	$44,228.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,874.66 / $4,874.66 / $4,874.66	Professional		$4,874.66	$4,874.66	$4,874.66
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 $1,102.68 / $7,835.58 / $11,348.47	Facility		$1,102.68	$7,835.58	$11,348.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,032.16 / $2,177.61 / $5,207.77	Facility		$2,032.16	$2,177.61	$5,207.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,241.46 / $3,521.06 / $4,466.22	Professional		$2,241.46	$3,521.06	$4,466.22
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 $2,072.53 / $2,958.96 / $3,985.64	Professional		$2,072.53	$2,958.96	$3,985.64
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 $1,973.84 / $3,163.08 / $4,441.14	Professional		$1,973.84	$3,163.08	$4,441.14