Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $18,800.00	Facility		$1,733.00	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.19 / $1,457.26 / $2,790.89	Professional		$901.19	$1,457.26	$2,790.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $18,231.29 / $37,102.31	Facility		$5,897.00	$18,231.29	$37,102.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.42 / $2,673.43 / $9,250.65	Professional		$1,555.42	$2,673.43	$9,250.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.15 / $2,235.10 / $3,253.10	Professional		$1,311.15	$2,235.10	$3,253.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,345.26 / $2,418.09 / $7,779.83	Facility		$1,345.26	$2,418.09	$7,779.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,345.26 / $2,249.60 / $3,276.55	Professional		$1,345.26	$2,249.60	$3,276.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $1,270.83 / $2,470.43	Professional		$150.40	$1,270.83	$2,470.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,590.60 / $2,057.57 / $2,169.88	Facility		$1,590.60	$2,057.57	$2,169.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.52 / $1,445.52 / $1,472.45	Facility		$1,445.52	$1,445.52	$1,472.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,539.16 / $2,456.13 / $3,019.98	Professional		$1,539.16	$2,456.13	$3,019.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,474.24 / $2,118.14 / $2,853.08	Professional		$1,474.24	$2,118.14	$2,853.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,351.24 / $2,107.51 / $3,109.89	Professional		$1,351.24	$2,107.51	$3,109.89