Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.51 / $2,976.41 / $20,680.40	Facility		$1,605.51	$2,976.41	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,050.28 / $1,534.84 / $3,050.47	Professional		$1,050.28	$1,534.84	$3,050.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,620.52 / $10,900.80	Facility		$55.00	$1,620.52	$10,900.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.86 / $2,831.06 / $10,441.65	Professional		$1,651.86	$2,831.06	$10,441.65
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 $1,137.81 / $2,090.77 / $3,530.51	Professional		$1,137.81	$2,090.77	$3,530.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,111.04 / $2,248.19 / $2,965.23	Facility		$1,111.04	$2,248.19	$2,965.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.04 / $2,248.19 / $2,975.20	Professional		$1,111.04	$2,248.19	$2,975.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,330.63 / $2,736.70	Professional		$148.17	$1,330.63	$2,736.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,664.04 / $2,252.54 / $2,375.82	Facility		$1,664.04	$2,252.54	$2,375.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.54 / $1,599.54 / $1,620.52	Facility		$1,599.54	$1,599.54	$1,620.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,694.88 / $2,685.98 / $3,241.95	Professional		$1,694.88	$2,685.98	$3,241.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,889.09 / $2,331.14 / $3,046.01	Professional		$1,889.09	$2,331.14	$3,046.01
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 $1,306.43 / $2,079.98 / $3,551.18	Professional		$1,306.43	$2,079.98	$3,551.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $984.46 / $1,240.13 / $1,240.13	Professional		$984.46	$1,240.13	$1,240.13