Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,577.76 / $5,128.00 / $20,680.40	Facility		$1,577.76	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.08 / $1,139.58 / $2,301.23	Professional		$808.08	$1,139.58	$2,301.23
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 $1,230.09 / $2,023.74 / $7,610.93	Professional		$1,230.09	$2,023.74	$7,610.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,490.71	Facility		$714.97	$870.49	$11,490.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.91 / $1,583.79 / $2,679.81	Professional		$856.91	$1,583.79	$2,679.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $863.04 / $1,763.08 / $9,116.34	Facility		$863.04	$1,763.08	$9,116.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.82 / $1,684.17 / $8,677.20	Professional		$788.82	$1,684.17	$8,677.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $481.46 / $1,692.11	Professional		$116.13	$481.46	$1,692.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,123.56 / $1,553.73 / $1,752.05	Facility		$1,123.56	$1,553.73	$1,752.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,180.97 / $1,195.06 / $10,149.70	Facility		$1,180.97	$1,195.06	$10,149.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,343.84 / $1,929.18 / $2,372.07	Professional		$1,343.84	$1,929.18	$2,372.07
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 $1,204.43 / $1,701.01 / $2,297.76	Professional		$1,204.43	$1,701.01	$2,297.76
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 $1,018.45 / $1,365.72 / $2,485.19	Professional		$1,018.45	$1,365.72	$2,485.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $720.53 / $720.53 / $956.72	Professional		$720.53	$720.53	$956.72