Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $3,925.18 / $18,711.00	Facility		$1,733.00	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,011.37 / $1,470.57 / $3,008.28	Professional		$1,011.37	$1,470.57	$3,008.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.53 / $2,775.57 / $9,761.62	Professional		$1,612.53	$2,775.57	$9,761.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,438.01 / $2,348.75 / $3,455.41	Professional		$1,438.01	$2,348.75	$3,455.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,415.37 / $2,595.96 / $8,210.75	Facility		$1,415.37	$2,595.96	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,424.59 / $2,552.27 / $4,024.14	Professional		$1,424.59	$2,552.27	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.40 / $1,409.04 / $2,697.51	Professional		$150.40	$1,409.04	$2,697.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,719.90 / $2,232.44 / $2,296.76	Facility		$1,719.90	$2,232.44	$2,296.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.89 / $1,566.60 / $2,173.03	Facility		$1,523.89	$1,566.60	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.53 / $2,613.16 / $3,213.06	Professional		$1,612.53	$2,613.16	$3,213.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,554.17 / $2,253.57 / $3,035.49	Professional		$1,554.17	$2,253.57	$3,035.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $11,941.00	Facility		$2,155.00	$6,594.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,466.09 / $2,332.41 / $3,272.09	Professional		$1,466.09	$2,332.41	$3,272.09