Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.26 / $4,500.00 / $22,024.00	Facility		$614.26	$4,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.98 / $1,790.63 / $3,150.54	Professional		$338.98	$1,790.63	$3,150.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,437.17 / $15,224.93 / $30,984.11	Facility		$2,437.17	$15,224.93	$30,984.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $585.52 / $3,263.26 / $13,086.96	Professional		$585.52	$3,263.26	$13,086.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,106.24 / $8,106.24 / $8,106.24	Facility		$8,106.24	$8,106.24	$8,106.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.10 / $1,087.27 / $5,460.31	Professional		$538.10	$1,087.27	$5,460.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $548.27 / $3,240.29 / $6,036.56	Facility		$548.27	$3,240.29	$6,036.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.71 / $2,592.23 / $5,703.12	Professional		$537.71	$2,592.23	$5,703.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $440.27 / $2,678.67 / $4,499.69	Professional		$440.27	$2,678.67	$4,499.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.43 / $3,360.13 / $4,060.20	Facility		$689.43	$3,360.13	$4,060.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,437.17 / $2,437.17 / $2,575.31	Facility		$2,437.17	$2,437.17	$2,575.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.75 / $1,127.47 / $4,467.45	Professional		$582.75	$1,127.47	$4,467.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,819.11 / $16,197.56 / $30,984.11	Facility		$11,819.11	$16,197.56	$30,984.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $545.37 / $1,040.86 / $4,127.74	Professional		$545.37	$1,040.86	$4,127.74
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 $2,450.69 / $3,514.84 / $5,552.38	Professional		$2,450.69	$3,514.84	$5,552.38