Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.60 / $9,350.64 / $21,917.86	Facility		$898.60	$9,350.64	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.24 / $670.15 / $1,076.60	Professional		$478.24	$670.15	$1,076.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $672.71 / $9,032.98 / $17,279.07	Facility		$672.71	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $689.21 / $1,165.01 / $4,358.39	Professional		$689.21	$1,165.01	$4,358.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,809.42 / $5,809.42 / $5,809.42	Facility		$5,809.42	$5,809.42	$5,809.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $644.73 / $993.22 / $1,481.26	Professional		$644.73	$993.22	$1,481.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $680.97 / $1,230.53 / $9,641.54	Facility		$680.97	$1,230.53	$9,641.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.25 / $1,144.11 / $3,672.63	Professional		$761.25	$1,144.11	$3,672.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $660.99 / $1,144.53	Professional		$67.39	$660.99	$1,144.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.72 / $948.43 / $1,049.24	Facility		$654.72	$948.43	$1,049.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.71 / $672.71 / $680.02	Facility		$672.71	$672.71	$680.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.70 / $1,125.36 / $1,349.76	Professional		$709.70	$1,125.36	$1,349.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,591.22 / $9,027.82 / $17,279.07	Facility		$6,591.22	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $686.07 / $978.22 / $1,317.62	Professional		$686.07	$978.22	$1,317.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,295.00 / $11,941.00	Facility		$2,155.00	$6,295.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.87 / $926.99 / $1,500.44	Professional		$648.87	$926.99	$1,500.44