Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.11 / $2,550.19 / $22,024.00	Facility		$1,153.11	$2,550.19	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.63 / $1,153.11 / $2,550.19	Professional		$839.63	$1,153.11	$2,550.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,239.38 / $15,599.20 / $31,745.76	Facility		$1,239.38	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.72 / $2,082.58 / $7,859.85	Professional		$1,275.72	$2,082.58	$7,859.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,075.00 / $1,223.70	Facility		$1,005.16	$1,075.00	$1,223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.23 / $1,625.87 / $2,748.48	Professional		$956.23	$1,625.87	$2,748.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $940.90 / $1,912.16 / $5,194.27	Facility		$940.90	$1,912.16	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $867.67 / $1,873.40 / $4,127.78	Professional		$867.67	$1,873.40	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.21 / $549.94 / $1,781.26	Professional		$80.21	$549.94	$1,781.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,245.17 / $1,721.90 / $1,817.04	Facility		$1,245.17	$1,721.90	$1,817.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,211.78 / $1,211.78 / $1,239.38	Facility		$1,211.78	$1,211.78	$1,239.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,389.83 / $1,979.50 / $2,460.06	Professional		$1,389.83	$1,979.50	$2,460.06
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 $1,235.84 / $1,772.21 / $2,380.40	Professional		$1,235.84	$1,772.21	$2,380.40
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 $1,099.13 / $1,387.01 / $2,590.81	Professional		$1,099.13	$1,387.01	$2,590.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $755.05 / $755.05 / $978.48	Professional		$755.05	$755.05	$978.48