Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.19 / $1,705.22 / $3,805.29	Professional		$1,133.19	$1,705.22	$3,805.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $19,823.93 / $38,781.51	Facility		$2,000.00	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,903.24 / $3,091.92 / $11,779.05	Professional		$1,903.24	$3,091.92	$11,779.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,139.14	Facility		$714.97	$870.49	$11,139.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,352.30 / $2,389.25 / $4,071.11	Professional		$1,352.30	$2,389.25	$4,071.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,228.83 / $2,815.17 / $9,768.66	Facility		$1,228.83	$2,815.17	$9,768.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.83 / $2,708.39 / $8,411.70	Professional		$1,228.83	$2,708.39	$8,411.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $806.22 / $2,642.04	Professional		$157.37	$806.22	$2,642.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,564.58 / $2,581.51 / $2,710.82	Facility		$1,564.58	$2,581.51	$2,710.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,801.58 / $1,849.02 / $6,526.97	Facility		$1,801.58	$1,849.02	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.42 / $2,942.98 / $3,670.13	Professional		$2,063.42	$2,942.98	$3,670.13
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 $1,837.37 / $2,645.97 / $3,503.84	Professional		$1,837.37	$2,645.97	$3,503.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,016.00 / $24,764.99 / $40,868.01	Facility		$4,016.00	$24,764.99	$40,868.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,193.92 / $2,238.59 / $3,877.45	Professional		$1,193.92	$2,238.59	$3,877.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,126.08 / $1,126.08 / $1,446.68	Professional		$1,126.08	$1,126.08	$1,446.68