Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,574.93 / $6,470.00 / $24,827.00	Facility		$1,574.93	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.49 / $1,093.83 / $2,515.57	Professional		$802.49	$1,093.83	$2,515.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,543.20 / $16,547.20 / $31,745.76	Facility		$9,543.20	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.95 / $1,857.62 / $13,243.52	Professional		$1,158.95	$1,857.62	$13,243.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.14 / $1,600.02 / $2,587.83	Professional		$904.14	$1,600.02	$2,587.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $874.75 / $1,866.98 / $6,059.92	Facility		$874.75	$1,866.98	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.80 / $1,777.88 / $5,218.14	Professional		$849.80	$1,777.88	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $482.00 / $1,659.98	Professional		$78.79	$482.00	$1,659.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.93 / $1,671.88 / $1,710.51	Facility		$1,236.93	$1,671.88	$1,710.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.22 / $1,158.95 / $5,317.93	Facility		$1,135.22	$1,158.95	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.48 / $1,854.44 / $2,300.41	Professional		$1,302.48	$1,854.44	$2,300.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,157.77 / $1,666.08 / $2,230.80	Professional		$1,157.77	$1,666.08	$2,230.80
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 $1,036.56 / $1,394.25 / $2,447.54	Professional		$1,036.56	$1,394.25	$2,447.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $706.18 / $706.18 / $919.93	Professional		$706.18	$706.18	$919.93