Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.32 / $5,116.62 / $24,827.00	Facility		$527.32	$5,116.62	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.64 / $1,244.29 / $2,306.12	Professional		$291.64	$1,244.29	$2,306.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $275.19 / $275.19	Professional		$275.19	$275.19	$275.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,817.49 / $15,224.93 / $30,984.11	Facility		$1,817.49	$15,224.93	$30,984.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $499.48 / $2,433.53 / $9,783.44	Professional		$499.48	$2,433.53	$9,783.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,866.02 / $7,866.02 / $7,866.02	Facility		$7,866.02	$7,866.02	$7,866.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.49 / $935.73 / $4,056.64	Professional		$461.49	$935.73	$4,056.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $469.24 / $2,246.66 / $5,061.89	Facility		$469.24	$2,246.66	$5,061.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.82 / $1,797.33 / $4,240.49	Professional		$460.82	$1,797.33	$4,240.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.28 / $1,992.19 / $3,335.46	Professional		$326.28	$1,992.19	$3,335.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $2,518.42 / $2,929.65	Facility		$579.54	$2,518.42	$2,929.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,817.49 / $1,817.49 / $1,918.00	Facility		$1,817.49	$1,817.49	$1,918.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.12 / $961.79 / $3,331.53	Professional		$497.12	$961.79	$3,331.53
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 $469.05 / $887.92 / $3,078.20	Professional		$469.05	$887.92	$3,078.20
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 $1,846.00 / $2,575.81 / $4,121.30	Professional		$1,846.00	$2,575.81	$4,121.30