Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.73 / $2,661.78 / $22,024.00	Facility		$1,274.73	$2,661.78	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.36 / $1,274.73 / $2,689.33	Professional		$978.36	$1,274.73	$2,689.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,347.22 / $8,957.00 / $17,546.59	Facility		$1,347.22	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.63 / $2,320.00 / $8,814.45	Professional		$1,437.63	$2,320.00	$8,814.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,008.37 / $1,799.16 / $3,051.93	Professional		$1,008.37	$1,799.16	$3,051.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,040.52 / $2,099.35 / $3,371.09	Facility		$1,040.52	$2,099.35	$3,371.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $969.05 / $2,052.86 / $3,054.80	Professional		$969.05	$2,052.86	$3,054.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $607.32 / $1,976.21	Professional		$81.45	$607.32	$1,976.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,383.30 / $1,832.61 / $2,028.76	Facility		$1,383.30	$1,832.61	$2,028.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,347.22 / $2,961.46	Facility		$986.25	$1,347.22	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,543.97 / $2,201.36 / $2,746.70	Professional		$1,543.97	$2,201.36	$2,746.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,373.99 / $1,969.66 / $2,622.25	Professional		$1,373.99	$1,969.66	$2,622.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,179.30 / $1,714.53 / $2,876.93	Professional		$1,179.30	$1,714.53	$2,876.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $843.11 / $843.11 / $1,085.01	Professional		$843.11	$843.11	$1,085.01