Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,746.92 / $3,328.97 / $20,680.40	Facility		$1,746.92	$3,328.97	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,188.67 / $1,674.65 / $3,361.51	Professional		$1,188.67	$1,674.65	$3,361.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,773.16 / $23,860.96	Facility		$55.00	$1,773.16	$23,860.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.58 / $3,058.17 / $11,404.73	Professional		$1,861.58	$3,058.17	$11,404.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,335.00 / $2,283.28 / $3,858.87	Professional		$1,335.00	$2,283.28	$3,858.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,222.02 / $2,598.17 / $3,266.33	Facility		$1,222.02	$2,598.17	$3,266.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.02 / $2,527.54 / $3,279.86	Professional		$1,222.02	$2,527.54	$3,279.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $460.54 / $2,887.60	Professional		$109.00	$460.54	$2,887.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,891.41 / $2,471.12 / $2,599.60	Facility		$1,891.41	$2,471.12	$2,599.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,742.24 / $1,742.24 / $1,773.16	Facility		$1,742.24	$1,742.24	$1,773.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,851.56 / $2,933.27 / $3,540.43	Professional		$1,851.56	$2,933.27	$3,540.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,057.61 / $2,550.71 / $3,332.92	Professional		$2,057.61	$2,550.71	$3,332.92
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.46 / $2,220.76 / $3,722.00	Professional		$1,459.46	$2,220.76	$3,722.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,075.56 / $1,348.57 / $1,348.57	Professional		$1,075.56	$1,348.57	$1,348.57