Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,505.33 / $5,095.71 / $18,711.00	Facility		$2,505.33	$5,095.71	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.06 / $2,505.33 / $4,734.89	Professional		$1,411.06	$2,505.33	$4,734.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,394.00 / $31,745.76	Facility		$9,866.94	$16,394.00	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.48 / $4,319.64 / $15,016.80	Professional		$2,447.48	$4,319.64	$15,016.80
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 $2,169.26 / $3,668.99 / $5,371.49	Professional		$2,169.26	$3,668.99	$5,371.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,208.36 / $3,735.60 / $11,234.92	Facility		$2,208.36	$3,735.60	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,258.36 / $3,687.22 / $5,541.56	Professional		$2,258.36	$3,687.22	$5,541.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.75 / $563.31 / $3,770.63	Professional		$169.75	$563.31	$3,770.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,462.23 / $3,295.73 / $3,527.84	Facility		$2,462.23	$3,295.73	$3,527.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,352.42 / $2,377.77 / $2,513.62	Facility		$2,352.42	$2,377.77	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,506.63 / $3,973.42 / $4,876.77	Professional		$2,506.63	$3,973.42	$4,876.77
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 $2,399.17 / $3,420.46 / $4,607.26	Professional		$2,399.17	$3,420.46	$4,607.26
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 $2,141.98 / $3,682.04 / $5,297.73	Professional		$2,141.98	$3,682.04	$5,297.73