Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,075.50 / $10,122.46 / $24,479.62	Facility		$2,075.50	$10,122.46	$24,479.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,298.96 / $1,796.76 / $3,872.36	Professional		$1,298.96	$1,796.76	$3,872.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,922.08 / $15,599.20 / $31,745.76	Facility		$1,922.08	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,006.73 / $3,139.82 / $15,789.51	Professional		$2,006.73	$3,139.82	$15,789.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.57 / $2,660.26 / $4,371.16	Professional		$1,520.57	$2,660.26	$4,371.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,414.53 / $2,889.39 / $4,435.31	Facility		$1,414.53	$2,889.39	$4,435.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.53 / $2,856.10 / $3,739.48	Professional		$1,414.53	$2,856.10	$3,739.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $782.13 / $2,807.08	Professional		$157.08	$782.13	$2,807.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,079.96 / $2,792.76 / $2,881.67	Facility		$2,079.96	$2,792.76	$2,881.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $1,922.08 / $5,317.93	Facility		$1,771.02	$1,922.08	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.52 / $3,139.82 / $3,869.69	Professional		$2,197.52	$3,139.82	$3,869.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,676.54 / $16,595.73 / $31,745.76	Facility		$12,676.54	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,960.27 / $2,774.95 / $3,694.36	Professional		$1,960.27	$2,774.95	$3,694.36
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 $1,719.48 / $2,305.34 / $4,067.54	Professional		$1,719.48	$2,305.34	$4,067.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,184.33 / $1,184.33 / $1,548.41	Professional		$1,184.33	$1,184.33	$1,548.41