Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.46 / $6,470.00 / $20,680.40	Facility		$1,859.46	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,280.07 / $1,859.46 / $4,180.35	Professional		$1,280.07	$1,859.46	$4,180.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $18,873.74 / $38,781.51	Facility		$2,000.00	$18,873.74	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,076.35 / $3,376.78 / $12,849.38	Professional		$2,076.35	$3,376.78	$12,849.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.98 / $2,611.16 / $4,436.41	Professional		$1,478.98	$2,611.16	$4,436.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,342.92 / $3,048.01 / $6,397.05	Facility		$1,342.92	$3,048.01	$6,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.92 / $2,908.50 / $5,065.67	Professional		$1,342.92	$2,908.50	$5,065.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.37 / $881.00 / $2,877.21	Professional		$157.37	$881.00	$2,877.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,713.32 / $2,853.53 / $2,957.38	Facility		$1,713.32	$2,853.53	$2,957.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,970.10 / $2,017.20 / $6,526.97	Facility		$1,970.10	$2,017.20	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,253.53 / $3,218.26 / $4,003.94	Professional		$2,253.53	$3,218.26	$4,003.94
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 $2,009.24 / $2,890.27 / $3,822.52	Professional		$2,009.24	$2,890.27	$3,822.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,096.98 / $11,941.00	Facility		$2,155.00	$6,096.98	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,485.57 / $2,470.21 / $4,234.68	Professional		$1,485.57	$2,470.21	$4,234.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,228.23 / $1,228.23 / $1,574.76	Professional		$1,228.23	$1,228.23	$1,574.76