Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,509.86 / $5,128.00 / $21,917.86	Facility		$1,509.86	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $1,104.11 / $2,202.19	Professional		$732.60	$1,104.11	$2,202.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $20,273.81 / $38,781.51	Facility		$6,013.44	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.15 / $1,926.60 / $7,363.58	Professional		$1,200.15	$1,926.60	$7,363.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $10,540.05	Facility		$883.20	$1,075.31	$10,540.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.95 / $1,533.73 / $2,594.13	Professional		$827.95	$1,533.73	$2,594.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $835.63 / $1,695.90 / $8,362.11	Facility		$835.63	$1,695.90	$8,362.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $753.15 / $1,607.06 / $7,959.30	Professional		$753.15	$1,607.06	$7,959.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $474.14 / $1,647.75	Professional		$116.13	$474.14	$1,647.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,084.85 / $1,514.56 / $1,695.10	Facility		$1,084.85	$1,514.56	$1,695.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.47 / $1,156.21 / $6,526.97	Facility		$1,142.47	$1,156.21	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.69 / $1,866.28 / $2,294.96	Professional		$1,300.69	$1,866.28	$2,294.96
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 $1,165.16 / $1,645.71 / $2,192.27	Professional		$1,165.16	$1,645.71	$2,192.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.49 / $1,325.88 / $2,444.64	Professional		$976.49	$1,325.88	$2,444.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $697.07 / $697.07 / $927.17	Professional		$697.07	$697.07	$927.17