Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,301.03 / $5,128.00 / $20,680.40	Facility		$1,301.03	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.87 / $1,301.03 / $2,579.67	Professional		$784.87	$1,301.03	$2,579.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,961.22 / $10,166.93 / $19,848.13	Facility		$1,961.22	$10,166.93	$19,848.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.92 / $2,399.73 / $8,804.33	Professional		$1,380.92	$2,399.73	$8,804.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $796.68 / $1,285.00 / $4,636.17	Facility		$796.68	$1,285.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,125.20 / $1,706.16 / $3,073.63	Professional		$1,125.20	$1,706.16	$3,073.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,238.01 / $2,060.55 / $4,240.71	Facility		$1,238.01	$2,060.55	$4,240.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,238.01 / $2,063.35 / $4,065.76	Professional		$1,238.01	$2,063.35	$4,065.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $555.45 / $2,025.14	Professional		$78.81	$555.45	$2,025.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,384.22 / $1,914.19 / $2,034.79	Facility		$1,384.22	$1,914.19	$2,034.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $1,387.91 / $1,961.22	Facility		$1,313.10	$1,387.91	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,387.91 / $2,301.71 / $2,754.86	Professional		$1,387.91	$2,301.71	$2,754.86
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 $1,364.78 / $1,866.24 / $2,603.94	Professional		$1,364.78	$1,866.24	$2,603.94
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
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.50 / $1,479.93 / $2,920.65	Professional		$1,200.50	$1,479.93	$2,920.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,101.73 / $1,101.73 / $1,101.73	Professional		$1,101.73	$1,101.73	$1,101.73