Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.35 / $2,354.89 / $18,800.00	Facility		$1,155.35	$2,354.89	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.34 / $1,026.90 / $2,185.23	Professional		$641.34	$1,026.90	$2,185.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.82 / $5,197.08 / $11,429.12	Facility		$1,218.82	$5,197.08	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.95 / $1,893.05 / $6,576.16	Professional		$1,024.95	$1,893.05	$6,576.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.21 / $1,390.28 / $2,464.29	Professional		$908.21	$1,390.28	$2,464.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $988.41 / $1,496.66 / $2,256.94	Facility		$988.41	$1,496.66	$2,256.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.50 / $1,565.69 / $2,285.86	Professional		$1,064.50	$1,565.69	$2,285.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $468.09 / $1,749.65	Professional		$73.87	$468.09	$1,749.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,240.76 / $1,598.24 / $1,786.89	Facility		$1,240.76	$1,598.24	$1,786.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,182.33 / $1,218.82	Facility		$759.83	$1,182.33	$1,218.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.81 / $1,717.01 / $2,234.56	Professional		$1,044.81	$1,717.01	$2,234.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,004.85 / $1,434.46 / $2,135.62	Professional		$1,004.85	$1,434.46	$2,135.62
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,612.00 / $6,857.00	Facility		$629.00	$1,612.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.25 / $1,350.44 / $2,586.59	Professional		$1,107.25	$1,350.44	$2,586.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $783.15 / $783.15 / $944.55	Professional		$783.15	$783.15	$944.55