Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.23 / $3,254.53 / $20,680.40	Facility		$1,751.23	$3,254.53	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.58 / $1,668.18 / $3,333.86	Professional		$1,134.58	$1,668.18	$3,333.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,775.90 / $13,461.21	Facility		$55.00	$1,775.90	$13,461.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,827.97 / $3,055.79 / $11,432.85	Professional		$1,827.97	$3,055.79	$11,432.85
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 $1,249.81 / $2,297.52 / $3,872.80	Professional		$1,249.81	$2,297.52	$3,872.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,208.38 / $2,406.89 / $3,221.74	Facility		$1,208.38	$2,406.89	$3,221.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.38 / $2,383.30 / $3,225.59	Professional		$1,208.38	$2,383.30	$3,225.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.17 / $1,504.86 / $3,030.34	Professional		$148.17	$1,504.86	$3,030.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,784.09 / $2,458.23 / $2,603.62	Facility		$1,784.09	$2,458.23	$2,603.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,738.16 / $1,738.16 / $1,775.90	Facility		$1,738.16	$1,738.16	$1,775.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,841.76 / $2,930.99 / $3,537.68	Professional		$1,841.76	$2,930.99	$3,537.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,052.80 / $2,554.65 / $3,335.97	Professional		$2,052.80	$2,554.65	$3,335.97
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 $1,348.20 / $2,083.94 / $3,719.09	Professional		$1,348.20	$2,083.94	$3,719.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,082.18 / $1,376.59 / $1,376.59	Professional		$1,082.18	$1,376.59	$1,376.59