Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.50 / $10,700.00 / $22,024.00	Facility		$1,004.50	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.72 / $1,004.50 / $1,139.72	Professional		$903.72	$1,004.50	$1,139.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,793.32 / $14,482.75 / $28,332.57	Facility		$1,793.32	$14,482.75	$28,332.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.10 / $2,290.10 / $7,690.28	Professional		$1,322.10	$2,290.10	$7,690.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $9,727.66	Facility		$734.00	$734.00	$9,727.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,385.48 / $1,385.48 / $1,385.48	Professional		$1,385.48	$1,385.48	$1,385.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,120.86 / $5,118.89 / $10,687.01	Facility		$2,120.86	$5,118.89	$10,687.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,183.74 / $4,923.41 / $8,897.93	Professional		$4,183.74	$4,923.41	$8,897.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $618.55 / $2,899.85 / $5,792.21	Facility		$618.55	$2,899.85	$5,792.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.53 / $1,310.53 / $1,696.74	Facility		$1,310.53	$1,310.53	$1,696.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.18 / $2,201.28 / $2,634.66	Professional		$1,374.18	$2,201.28	$2,634.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,297.11 / $13,922.03 / $28,332.57	Facility		$5,297.11	$13,922.03	$28,332.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,336.57 / $1,649.01 / $2,401.19	Professional		$1,336.57	$1,649.01	$2,401.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,215.06 / $1,591.15 / $2,777.28	Professional		$1,215.06	$1,591.15	$2,777.28