Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $5,128.00 / $23,000.00	Facility		$1,296.00	$5,128.00	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.83 / $1,196.48 / $2,741.17	Professional		$969.83	$1,196.48	$2,741.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.47 / $9,032.98 / $17,279.07	Facility		$1,301.47	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.69 / $2,270.42 / $8,477.62	Professional		$1,333.69	$2,270.42	$8,477.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.11 / $1,903.26 / $2,837.92	Professional		$1,307.11	$1,903.26	$2,837.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,435.28 / $2,244.98 / $8,977.36	Facility		$1,435.28	$2,244.98	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,435.28 / $2,130.79 / $2,790.17	Professional		$1,435.28	$2,130.79	$2,790.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.35 / $1,092.94 / $2,139.80	Professional		$57.35	$1,092.94	$2,139.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,507.28 / $1,819.22 / $2,093.75	Facility		$1,507.28	$1,819.22	$2,093.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.47 / $1,301.47 / $1,315.70	Facility		$1,301.47	$1,301.47	$1,315.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,382.06 / $2,177.69 / $2,611.54	Professional		$1,382.06	$2,177.69	$2,611.54
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 $1,327.33 / $1,892.66 / $2,549.35	Professional		$1,327.33	$1,892.66	$2,549.35
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 $1,222.49 / $1,762.67 / $2,763.26	Professional		$1,222.49	$1,762.67	$2,763.26