Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.80 / $5,128.00 / $22,671.14	Facility		$1,303.80	$5,128.00	$22,671.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $652.42 / $912.84 / $1,998.78	Professional		$652.42	$912.84	$1,998.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,412.56 / $16,547.20 / $26,542.00	Facility		$3,412.56	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.99 / $1,642.30 / $11,064.05	Professional		$1,029.99	$1,642.30	$11,064.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.45 / $1,282.26 / $2,143.96	Professional		$706.45	$1,282.26	$2,143.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $791.35 / $1,548.08 / $6,320.69	Facility		$791.35	$1,548.08	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.91 / $1,473.05 / $4,655.70	Professional		$700.91	$1,473.05	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $821.12 / $1,683.71	Professional		$98.67	$821.12	$1,683.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,045.66 / $1,377.86 / $1,417.05	Facility		$1,045.66	$1,377.86	$1,417.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.51 / $1,994.21 / $3,953.90	Facility		$944.51	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.95 / $1,603.98 / $1,935.99	Professional		$1,017.95	$1,603.98	$1,935.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,115.48 / $1,390.40 / $1,831.59	Professional		$1,115.48	$1,390.40	$1,831.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.74 / $1,218.94 / $2,035.27	Professional		$805.74	$1,218.94	$2,035.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $769.62 / $769.62	Professional		$588.02	$769.62	$769.62