Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,593.95 / $5,128.00 / $23,000.00	Facility		$1,593.95	$5,128.00	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.08 / $1,593.95 / $3,211.26	Professional		$1,060.08	$1,593.95	$3,211.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.79 / $9,032.98 / $17,279.07	Facility		$1,659.79	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.80 / $2,938.38 / $10,723.43	Professional		$1,710.80	$2,938.38	$10,723.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.40 / $2,473.21 / $3,713.56	Professional		$1,540.40	$2,473.21	$3,713.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,559.96 / $2,607.58 / $8,977.36	Facility		$1,559.96	$2,607.58	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,559.96 / $2,532.81 / $3,272.36	Professional		$1,559.96	$2,532.81	$3,272.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $348.28 / $2,687.25	Professional		$79.43	$348.28	$2,687.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,744.68 / $2,395.19 / $2,491.52	Facility		$1,744.68	$2,395.19	$2,491.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.79 / $1,659.79 / $1,692.73	Facility		$1,659.79	$1,659.79	$1,692.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,742.36 / $2,818.37 / $3,373.23	Professional		$1,742.36	$2,818.37	$3,373.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,255.42 / $9,027.82 / $17,279.07	Facility		$6,255.42	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,692.77 / $2,435.01 / $3,279.89	Professional		$1,692.77	$2,435.01	$3,279.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,565.87 / $2,059.61 / $3,576.21	Professional		$1,565.87	$2,059.61	$3,576.21