Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.87 / $5,132.00 / $22,024.00	Facility		$1,536.87	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.30 / $1,064.46 / $2,323.50	Professional		$772.30	$1,064.46	$2,323.50
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 $1,175.06 / $1,896.92 / $7,249.13	Professional		$1,175.06	$1,896.92	$7,249.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $25,501.73	Facility		$1,005.16	$1,223.70	$25,501.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.63 / $1,498.50 / $2,524.56	Professional		$827.63	$1,498.50	$2,524.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $841.17 / $1,788.11 / $20,232.18	Facility		$841.17	$1,788.11	$20,232.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.07 / $1,681.85 / $19,257.58	Professional		$795.07	$1,681.85	$19,257.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $422.10 / $1,627.87	Professional		$78.54	$422.10	$1,627.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,138.08 / $1,573.83 / $1,673.66	Facility		$1,138.08	$1,573.83	$1,673.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,116.19 / $1,141.58 / $20,343.25	Facility		$1,116.19	$1,141.58	$20,343.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.90 / $1,823.36 / $2,265.94	Professional		$1,280.90	$1,823.36	$2,265.94
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 $1,138.36 / $1,632.71 / $2,193.84	Professional		$1,138.36	$1,632.71	$2,193.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $966.64 / $1,314.49 / $2,407.00	Professional		$966.64	$1,314.49	$2,407.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $701.21 / $701.21 / $911.45	Professional		$701.21	$701.21	$911.45