Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,321.81 / $5,726.36 / $20,680.40	Facility		$3,321.81	$5,726.36	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,185.26 / $3,194.30 / $6,311.44	Professional		$2,185.26	$3,194.30	$6,311.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,375.40 / $22,671.04	Facility		$55.00	$3,375.40	$22,671.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,532.61 / $5,898.71 / $21,767.93	Professional		$3,532.61	$5,898.71	$21,767.93
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 $2,434.69 / $4,336.97 / $7,329.74	Professional		$2,434.69	$4,336.97	$7,329.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,317.25 / $4,730.64 / $6,159.42	Facility		$2,317.25	$4,730.64	$6,159.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.25 / $4,730.64 / $6,227.77	Professional		$2,317.25	$4,730.64	$6,227.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.60 / $2,786.49 / $5,695.75	Professional		$332.60	$2,786.49	$5,695.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,509.00 / $4,697.21 / $4,948.62	Facility		$3,509.00	$4,697.21	$4,948.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,334.53 / $3,334.53 / $3,375.40	Facility		$3,334.53	$3,334.53	$3,375.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,532.61 / $5,596.42 / $6,754.83	Professional		$3,532.61	$5,596.42	$6,754.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,938.14 / $4,855.55 / $6,344.57	Professional		$3,938.14	$4,855.55	$6,344.57
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 $2,724.94 / $4,070.48 / $7,101.25	Professional		$2,724.94	$4,070.48	$7,101.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,049.80 / $2,560.46 / $2,560.46	Professional		$2,049.80	$2,560.46	$2,560.46