Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.79 / $1,628.38 / $2,605.51	Facility		$1,117.79	$1,628.38	$2,605.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.51 / $1,117.79 / $2,605.51	Professional		$758.51	$1,117.79	$2,605.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $800.83 / $4,225.91 / $8,267.12	Facility		$800.83	$4,225.91	$8,267.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.55 / $1,816.45 / $6,495.04	Professional		$1,166.55	$1,816.45	$6,495.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $917.86	Facility		$714.97	$870.49	$917.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.47 / $1,504.38 / $2,412.08	Professional		$901.47	$1,504.38	$2,412.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $749.61 / $1,499.90 / $2,389.21	Facility		$749.61	$1,499.90	$2,389.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.99 / $1,499.90 / $2,262.39	Professional		$752.99	$1,499.90	$2,262.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $947.63 / $2,011.94	Professional		$93.33	$947.63	$2,011.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,243.69 / $1,709.13 / $1,921.56	Facility		$1,243.69	$1,709.13	$1,921.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $1,143.83 / $1,185.92	Facility		$266.70	$1,143.83	$1,185.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,161.66 / $1,652.59 / $2,147.25	Professional		$1,161.66	$1,652.59	$2,147.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,001.12 / $1,527.19 / $2,131.44	Professional		$1,001.12	$1,527.19	$2,131.44
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.46 / $1,436.66 / $2,465.46	Professional		$1,055.46	$1,436.66	$2,465.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $737.93 / $759.65 / $962.09	Professional		$737.93	$759.65	$962.09