Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.85 / $7,920.26 / $20,680.40	Facility		$1,808.85	$7,920.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $1,248.22 / $3,299.96	Professional		$836.74	$1,248.22	$3,299.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,355.01 / $19,823.93 / $38,781.51	Facility		$1,355.01	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,394.74 / $2,266.59 / $8,630.03	Professional		$1,394.74	$2,266.59	$8,630.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $8,315.84	Facility		$714.97	$2,285.42	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.25 / $1,763.68 / $2,986.55	Professional		$981.25	$1,763.68	$2,986.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,033.92 / $2,106.02 / $7,292.72	Facility		$1,033.92	$2,106.02	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.45 / $2,039.42 / $6,279.70	Professional		$942.45	$2,039.42	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $608.04 / $1,919.55	Professional		$81.90	$608.04	$1,919.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,368.71 / $1,892.75 / $1,986.55	Facility		$1,368.71	$1,892.75	$1,986.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,319.14 / $1,355.01 / $6,526.97	Facility		$1,319.14	$1,355.01	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.63 / $2,155.56 / $2,689.55	Professional		$1,512.63	$2,155.56	$2,689.55
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 $1,345.34 / $1,929.74 / $2,590.71	Professional		$1,345.34	$1,929.74	$2,590.71
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 $1,189.85 / $1,558.15 / $2,799.72	Professional		$1,189.85	$1,558.15	$2,799.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $826.00 / $826.00 / $1,065.34	Professional		$826.00	$826.00	$1,065.34