Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.24 / $5,128.00 / $20,680.40	Facility		$1,366.24	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.47 / $944.25 / $2,074.88	Professional		$685.47	$944.25	$2,074.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,913.50 / $38,781.51	Facility		$5,555.68	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,059.13 / $1,688.44 / $6,517.73	Professional		$1,059.13	$1,688.44	$6,517.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.36 / $1,332.12 / $2,260.07	Professional		$767.36	$1,332.12	$2,260.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $779.39 / $1,582.02 / $6,675.67	Facility		$779.39	$1,582.02	$6,675.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.09 / $1,528.30 / $6,279.70	Professional		$708.09	$1,528.30	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,030.47 / $1,410.35 / $1,500.13	Facility		$1,030.47	$1,410.35	$1,500.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.52 / $1,023.22 / $6,526.97	Facility		$992.52	$1,023.22	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,140.11 / $1,627.75 / $2,031.00	Professional		$1,140.11	$1,627.75	$2,031.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,012.24 / $1,456.43 / $1,952.72	Professional		$1,012.24	$1,456.43	$1,952.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $894.37 / $1,147.57 / $2,108.06	Professional		$894.37	$1,147.57	$2,108.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $623.64 / $623.64 / $809.12	Professional		$623.64	$623.64	$809.12