Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,054.75 / $5,116.62 / $20,680.40	Facility		$2,054.75	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,284.81 / $2,054.75 / $3,743.41	Professional		$1,284.81	$2,054.75	$3,743.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $16,227.47 / $31,745.76	Facility		$2,000.00	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,107.86 / $3,547.16 / $12,890.55	Professional		$2,107.86	$3,547.16	$12,890.55
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 $1,767.77 / $3,125.38 / $4,558.22	Professional		$1,767.77	$3,125.38	$4,558.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,744.51 / $3,355.91 / $15,077.93	Facility		$1,744.51	$3,355.91	$15,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,847.96 / $3,136.19 / $4,655.70	Professional		$1,847.96	$3,136.19	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.44 / $766.73 / $3,290.87	Professional		$124.44	$766.73	$3,290.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.66 / $2,817.35 / $3,016.48	Facility		$1,995.66	$2,817.35	$3,016.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,009.51 / $2,047.82 / $2,513.62	Facility		$2,009.51	$2,047.82	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,107.86 / $3,411.96 / $4,200.04	Professional		$2,107.86	$3,411.96	$4,200.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,023.10 / $16,586.25 / $31,745.76	Facility		$12,023.10	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,049.42 / $2,945.81 / $3,967.93	Professional		$2,049.42	$2,945.81	$3,967.93
United Facility/Professional Facility Modifier Low / Median / High Price $10,312.00 / $21,157.82 / $33,842.43	Facility		$10,312.00	$21,157.82	$33,842.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,853.55 / $2,943.51 / $4,326.42	Professional		$1,853.55	$2,943.51	$4,326.42