Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.30 / $5,128.00 / $20,680.40	Facility		$1,946.30	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.37 / $1,946.30 / $3,306.25	Professional		$983.37	$1,946.30	$3,306.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.68 / $3,356.78 / $11,708.18	Professional		$1,884.68	$3,356.78	$11,708.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.55 / $2,779.23 / $4,181.81	Professional		$1,420.55	$2,779.23	$4,181.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,446.09 / $2,586.14 / $11,234.92	Facility		$1,446.09	$2,586.14	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,531.84 / $2,451.94 / $4,655.70	Professional		$1,531.84	$2,451.94	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $526.96 / $2,936.97	Professional		$153.18	$526.96	$2,936.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,729.18 / $2,391.23 / $2,730.20	Facility		$1,729.18	$2,391.23	$2,730.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,835.56 / $1,843.54 / $2,513.62	Facility		$1,835.56	$1,843.54	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,897.59 / $3,087.73 / $3,781.07	Professional		$1,897.59	$3,087.73	$3,781.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,872.02 / $2,651.95 / $3,572.11	Professional		$1,872.02	$2,651.95	$3,572.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.46 / $2,593.44 / $3,917.99	Professional		$1,580.46	$2,593.44	$3,917.99