Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,552.07 / $4,989.35 / $20,680.40	Facility		$2,552.07	$4,989.35	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.64 / $2,436.35 / $5,035.39	Professional		$1,718.64	$2,436.35	$5,035.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,547.78 / $17,390.00	Facility		$55.00	$2,547.78	$17,390.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,727.41 / $4,421.60 / $15,941.18	Professional		$2,727.41	$4,421.60	$15,941.18
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 $1,914.62 / $3,355.18 / $5,614.73	Professional		$1,914.62	$3,355.18	$5,614.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,807.92 / $3,800.82 / $4,807.93	Facility		$1,807.92	$3,800.82	$4,807.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,807.92 / $3,698.07 / $4,841.85	Professional		$1,807.92	$3,698.07	$4,841.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $2,133.43 / $4,321.26	Professional		$245.88	$2,133.43	$4,321.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,764.58 / $3,619.53 / $3,780.81	Facility		$2,764.58	$3,619.53	$3,780.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,501.01 / $2,501.01 / $2,547.78	Facility		$2,501.01	$2,501.01	$2,547.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,684.44 / $4,229.84 / $5,105.39	Professional		$2,684.44	$4,229.84	$5,105.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,953.73 / $3,665.01 / $4,827.95	Professional		$2,953.73	$3,665.01	$4,827.95
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 $2,106.90 / $3,289.26 / $5,435.64	Professional		$2,106.90	$3,289.26	$5,435.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,542.66 / $1,960.07 / $1,960.07	Professional		$1,542.66	$1,960.07	$1,960.07