Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.70 / $5,128.00 / $20,680.40	Facility		$1,062.70	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.21 / $750.07 / $1,521.23	Professional		$552.21	$750.07	$1,521.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $773.72 / $13,249.10 / $26,963.11	Facility		$773.72	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $805.58 / $1,356.42 / $5,164.00	Professional		$805.58	$1,356.42	$5,164.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.13 / $1,195.80 / $1,763.16	Professional		$727.13	$1,195.80	$1,763.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $719.88 / $1,313.49 / $11,411.87	Facility		$719.88	$1,313.49	$11,411.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.88 / $1,290.29 / $2,598.39	Professional		$719.88	$1,290.29	$2,598.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $462.78 / $1,307.78	Professional		$51.52	$462.78	$1,307.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $825.16 / $1,127.60 / $1,169.15	Facility		$825.16	$1,127.60	$1,169.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.72 / $797.47 / $1,964.09	Facility		$773.72	$797.47	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.85 / $1,330.21 / $1,635.59	Professional		$820.85	$1,330.21	$1,635.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $789.10 / $1,145.30 / $1,545.20	Professional		$789.10	$1,145.30	$1,545.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.21 / $1,159.19 / $1,662.60	Professional		$739.21	$1,159.19	$1,662.60