Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.18 / $5,238.91 / $20,680.40	Facility		$1,362.18	$5,238.91	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.58 / $941.92 / $2,072.26	Professional		$682.58	$941.92	$2,072.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $987.54 / $8,957.00 / $17,546.59	Facility		$987.54	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,049.93 / $1,650.87 / $6,497.18	Professional		$1,049.93	$1,650.87	$6,497.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.15 / $1,328.16 / $2,255.92	Professional		$741.15	$1,328.16	$2,255.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $796.48 / $1,551.04 / $3,280.24	Facility		$796.48	$1,551.04	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.56 / $1,519.60 / $2,824.57	Professional		$757.56	$1,519.60	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.90 / $1,502.30	Professional		$78.68	$399.90	$1,502.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,017.93 / $1,407.67 / $1,495.44	Facility		$1,017.93	$1,407.67	$1,495.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $987.54 / $2,961.46	Facility		$986.25	$987.54	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.50 / $1,622.66 / $2,024.65	Professional		$1,135.50	$1,622.66	$2,024.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,007.16 / $1,451.87 / $1,932.91	Professional		$1,007.16	$1,451.87	$1,932.91
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 $882.42 / $1,222.06 / $2,133.76	Professional		$882.42	$1,222.06	$2,133.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $621.98 / $621.98 / $810.00	Professional		$621.98	$621.98	$810.00