Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $7,920.26 / $24,827.00	Facility		$1,560.00	$7,920.26	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.28 / $1,357.39 / $2,902.69	Professional		$924.28	$1,357.39	$2,902.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,516.57 / $2,482.44 / $9,386.25	Professional		$1,516.57	$2,482.44	$9,386.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $8,315.84	Facility		$1,394.89	$1,698.13	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.42 / $1,916.71 / $3,248.40	Professional		$1,120.42	$1,916.71	$3,248.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,124.25 / $2,335.69 / $7,292.72	Facility		$1,124.25	$2,335.69	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,049.09 / $2,214.13 / $6,279.70	Professional		$1,049.09	$2,214.13	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $611.35 / $2,109.93	Professional		$113.60	$611.35	$2,109.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,494.99 / $2,036.13 / $2,160.08	Facility		$1,494.99	$2,036.13	$2,160.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,435.56 / $1,473.37 / $6,526.97	Facility		$1,435.56	$1,473.37	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.19 / $2,345.06 / $2,924.49	Professional		$1,645.19	$2,345.06	$2,924.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,464.08 / $2,102.63 / $2,817.76	Professional		$1,464.08	$2,102.63	$2,817.76
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 $1,297.80 / $1,761.10 / $3,091.54	Professional		$1,297.80	$1,761.10	$3,091.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $896.66 / $896.66 / $1,153.76	Professional		$896.66	$896.66	$1,153.76