Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,534.44 / $4,952.80 / $20,680.40	Facility		$2,534.44	$4,952.80	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.87 / $2,418.73 / $4,998.45	Professional		$1,711.87	$2,418.73	$4,998.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,529.04 / $17,263.28	Facility		$55.00	$2,529.04	$17,263.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.00 / $4,442.21 / $15,822.30	Professional		$2,753.00	$4,442.21	$15,822.30
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 $1,893.22 / $3,383.22 / $5,573.88	Professional		$1,893.22	$3,383.22	$5,573.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,809.47 / $3,796.02 / $4,823.37	Facility		$1,809.47	$3,796.02	$4,823.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,809.47 / $3,683.95 / $4,823.37	Professional		$1,809.47	$3,683.95	$4,823.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $2,133.21 / $4,292.70	Professional		$245.88	$2,133.21	$4,292.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,714.17 / $3,594.65 / $3,753.34	Facility		$2,714.17	$3,594.65	$3,753.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,482.89 / $2,482.89 / $2,529.04	Facility		$2,482.89	$2,482.89	$2,529.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,665.13 / $4,199.41 / $5,068.64	Professional		$2,665.13	$4,199.41	$5,068.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,932.34 / $3,638.05 / $4,753.71	Professional		$2,932.34	$3,638.05	$4,753.71
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 $2,049.78 / $3,198.39 / $5,328.58	Professional		$2,049.78	$3,198.39	$5,328.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,532.17 / $1,946.80 / $1,946.80	Professional		$1,532.17	$1,946.80	$1,946.80