Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.74 / $3,430.32 / $20,680.40	Facility		$1,789.74	$3,430.32	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,218.47 / $1,719.07 / $3,430.32	Professional		$1,218.47	$1,719.07	$3,430.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,817.49 / $24,443.68	Facility		$55.00	$1,817.49	$24,443.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,942.50 / $3,139.09 / $11,691.60	Professional		$1,942.50	$3,139.09	$11,691.60
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 $1,362.35 / $2,338.34 / $3,949.78	Professional		$1,362.35	$2,338.34	$3,949.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.91 / $2,680.49 / $3,373.55	Facility		$1,258.91	$2,680.49	$3,373.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.91 / $2,600.54 / $3,383.76	Professional		$1,258.91	$2,600.54	$3,383.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.51 / $1,515.09 / $3,079.27	Professional		$184.51	$1,515.09	$3,079.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,917.37 / $2,530.30 / $2,664.59	Facility		$1,917.37	$2,530.30	$2,664.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,788.44 / $1,788.44 / $1,817.49	Facility		$1,788.44	$1,788.44	$1,817.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,900.55 / $3,010.88 / $3,634.11	Professional		$1,900.55	$3,010.88	$3,634.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,112.17 / $2,614.48 / $3,416.24	Professional		$2,112.17	$2,614.48	$3,416.24
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 $1,486.94 / $2,325.60 / $3,820.50	Professional		$1,486.94	$2,325.60	$3,820.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,102.60 / $1,377.04 / $1,377.04	Professional		$1,102.60	$1,377.04	$1,377.04