Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,932.48 / $6,111.79 / $20,680.40	Facility		$2,932.48	$6,111.79	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.16 / $2,939.92 / $5,895.77	Professional		$1,736.16	$2,939.92	$5,895.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,552.03 / $10,072.78	Facility		$1,613.81	$4,552.03	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,610.30 / $4,177.34 / $15,461.03	Professional		$2,610.30	$4,177.34	$15,461.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.51 / $3,614.44 / $5,821.60	Professional		$1,980.51	$3,614.44	$5,821.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $2,995.49 / $5,458.47	Facility		$1,402.00	$2,995.49	$5,458.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.45 / $3,029.24 / $5,458.47	Professional		$1,472.45	$3,029.24	$5,458.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $466.65 / $2,583.94 / $4,634.47	Professional		$466.65	$2,583.94	$4,634.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,414.71 / $3,352.62 / $4,001.91	Facility		$2,414.71	$3,352.62	$4,001.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $2,426.67 / $2,559.44	Facility		$537.44	$2,426.67	$2,559.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,820.76 / $4,047.81 / $4,977.06	Professional		$2,820.76	$4,047.81	$4,977.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,610.30 / $3,554.23 / $4,898.82	Professional		$2,610.30	$3,554.23	$4,898.82
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,952.30 / $3,237.35 / $5,567.11	Professional		$1,952.30	$3,237.35	$5,567.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,401.32 / $1,401.32 / $2,002.77	Professional		$1,401.32	$1,401.32	$2,002.77