Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.65 / $1,352.14 / $3,005.07	Professional		$983.65	$1,352.14	$3,005.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.57 / $2,506.23 / $9,337.04	Professional		$1,508.57	$2,506.23	$9,337.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $23,122.69	Facility		$1,005.16	$1,223.70	$23,122.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,107.81 / $1,907.96 / $3,229.75	Professional		$1,107.81	$1,907.96	$3,229.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,117.54 / $2,325.46 / $18,344.75	Facility		$1,117.54	$2,325.46	$18,344.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.67 / $2,204.71 / $17,461.06	Professional		$1,034.67	$2,204.71	$17,461.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $630.33 / $2,083.16	Professional		$116.28	$630.33	$2,083.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,520.06 / $2,044.17 / $2,148.69	Facility		$1,520.06	$2,044.17	$2,148.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.86 / $1,465.60 / $20,925.84	Facility		$1,427.86	$1,465.60	$20,925.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.45 / $2,332.48 / $2,909.07	Professional		$1,636.45	$2,332.48	$2,909.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,456.22 / $2,090.61 / $2,802.80	Professional		$1,456.22	$2,090.61	$2,802.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $8,242.00 / $16,315.00	Facility		$2,912.00	$8,242.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.89 / $1,746.48 / $3,075.13	Professional		$1,286.89	$1,746.48	$3,075.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $892.52 / $892.52 / $1,150.83	Professional		$892.52	$892.52	$1,150.83