Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $10,122.46 / $22,024.00	Facility		$656.25	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $656.25 / $743.75	Professional		$49.00	$656.25	$743.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,170.37 / $10,406.46 / $19,848.13	Facility		$6,170.37	$10,406.46	$19,848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $1,283.50 / $1,283.50	Professional		$625.00	$1,283.50	$1,283.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $4,636.17	Facility		$644.92	$1,110.00	$4,636.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,346.48 / $3,596.22 / $9,525.34	Facility		$2,346.48	$3,596.22	$9,525.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,749.57 / $3,286.76 / $5,126.18	Professional		$1,749.57	$3,286.76	$5,126.18
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 $1,428.87 / $2,455.76 / $8,682.00	Facility		$1,428.87	$2,455.76	$8,682.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $1,961.22 / $1,961.22	Facility		$1,313.10	$1,961.22	$1,961.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,219.33 / $1,283.50 / $1,283.50	Professional		$1,219.33	$1,283.50	$1,283.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.24 / $214.24 / $214.24	Professional		$214.24	$214.24	$214.24