Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.49 / $3,078.37 / $20,680.40	Facility		$1,246.49	$3,078.37	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.35 / $1,246.49 / $3,048.40	Professional		$998.35	$1,246.49	$3,048.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,356.28 / $14,638.06 / $29,789.77	Facility		$1,356.28	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,409.79 / $2,365.62 / $8,827.73	Professional		$1,409.79	$2,365.62	$8,827.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.31 / $2,024.27 / $2,952.29	Professional		$1,259.31	$2,024.27	$2,952.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,549.59 / $2,386.98 / $10,488.49	Facility		$1,549.59	$2,386.98	$10,488.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,487.37 / $2,171.04 / $3,187.73	Professional		$1,487.37	$2,171.04	$3,187.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,142.90 / $2,237.05	Professional		$57.35	$1,142.90	$2,237.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,647.91 / $1,973.15 / $2,336.29	Facility		$1,647.91	$1,973.15	$2,336.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,356.28 / $1,356.28 / $1,369.63	Facility		$1,356.28	$1,356.28	$1,369.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.01 / $2,269.00 / $2,718.58	Professional		$1,440.01	$2,269.00	$2,718.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,383.23 / $1,970.22 / $2,653.84	Professional		$1,383.23	$1,970.22	$2,653.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.17 / $1,981.89 / $2,934.37	Professional		$1,304.17	$1,981.89	$2,934.37