Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.53 / $1,295.73 / $2,752.64	Professional		$851.53	$1,295.73	$2,752.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,378.93 / $7,547.82 / $15,403.47	Facility		$1,378.93	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.09 / $2,336.71 / $8,946.83	Professional		$1,431.09	$2,336.71	$8,946.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.17 / $1,907.28 / $3,134.95	Professional		$1,071.17	$1,907.28	$3,134.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,074.89 / $2,104.35 / $2,917.56	Facility		$1,074.89	$2,104.35	$2,917.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,024.23 / $2,017.55 / $2,657.10	Professional		$1,024.23	$2,017.55	$2,657.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.54 / $641.91 / $2,002.93	Professional		$118.54	$641.91	$2,002.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,485.96 / $2,027.42 / $2,085.04	Facility		$1,485.96	$2,027.42	$2,085.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $1,378.93 / $2,218.36	Facility		$738.78	$1,378.93	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,577.88 / $2,262.42 / $2,822.90	Professional		$1,577.88	$2,262.42	$2,822.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,406.33 / $2,024.29 / $2,694.99	Professional		$1,406.33	$2,024.29	$2,694.99
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 $1,264.20 / $1,643.51 / $2,965.06	Professional		$1,264.20	$1,643.51	$2,965.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $869.06 / $869.06 / $1,109.61	Professional		$869.06	$869.06	$1,109.61