Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,705.84 / $6,470.00 / $20,680.40	Facility		$3,705.84	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,499.79 / $3,488.39 / $7,216.46	Professional		$2,499.79	$3,488.39	$7,216.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,728.66 / $28,514.34	Facility		$55.00	$3,728.66	$28,514.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,983.24 / $6,425.61 / $23,502.38	Professional		$3,983.24	$6,425.61	$23,502.38
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 $2,753.16 / $4,871.60 / $8,182.67	Professional		$2,753.16	$4,871.60	$8,182.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,596.56 / $5,515.13 / $6,962.11	Facility		$2,596.56	$5,515.13	$6,962.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,596.56 / $5,420.35 / $6,962.11	Professional		$2,596.56	$5,420.35	$6,962.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $329.44 / $1,131.26 / $5,790.07	Professional		$329.44	$1,131.26	$5,790.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,965.57 / $5,247.44 / $5,466.53	Facility		$3,965.57	$5,247.44	$5,466.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,659.33 / $3,659.33 / $3,728.66	Facility		$3,659.33	$3,659.33	$3,728.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,899.42 / $6,144.27 / $7,416.08	Professional		$3,899.42	$6,144.27	$7,416.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,321.72 / $5,363.73 / $7,008.58	Professional		$4,321.72	$5,363.73	$7,008.58
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 $3,075.35 / $4,488.95 / $7,796.41	Professional		$3,075.35	$4,488.95	$7,796.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,247.46 / $2,840.26 / $2,840.26	Professional		$2,247.46	$2,840.26	$2,840.26