Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,857.24 / $5,128.00 / $20,680.40	Facility		$2,857.24	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,879.22 / $2,753.59 / $5,428.76	Professional		$1,879.22	$2,753.59	$5,428.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,905.15 / $19,507.84	Facility		$55.00	$2,905.15	$19,507.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,991.32 / $5,075.06 / $18,738.53	Professional		$2,991.32	$5,075.06	$18,738.53
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 $2,034.44 / $3,730.96 / $6,305.52	Professional		$2,034.44	$3,730.96	$6,305.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,997.64 / $4,032.67 / $5,297.63	Facility		$1,997.64	$4,032.67	$5,297.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,997.64 / $4,032.67 / $5,371.93	Professional		$1,997.64	$4,032.67	$5,371.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $776.97 / $4,666.14	Professional		$203.05	$776.97	$4,666.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,010.07 / $4,038.67 / $4,259.18	Facility		$3,010.07	$4,038.67	$4,259.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,870.21 / $2,870.21 / $2,905.15	Facility		$2,870.21	$2,870.21	$2,905.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,039.34 / $4,814.97 / $5,811.64	Professional		$3,039.34	$4,814.97	$5,811.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,389.76 / $4,179.09 / $5,460.66	Professional		$3,389.76	$4,179.09	$5,460.66
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 $2,298.55 / $3,480.39 / $6,109.68	Professional		$2,298.55	$3,480.39	$6,109.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,762.97 / $2,199.56 / $2,199.56	Professional		$1,762.97	$2,199.56	$2,199.56