Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.41 / $5,116.62 / $20,680.40	Facility		$972.41	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.91 / $705.38 / $1,389.36	Professional		$540.91	$705.38	$1,389.36
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 $752.17 / $1,306.42 / $4,564.28	Professional		$752.17	$1,306.42	$4,564.28
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 $663.86 / $1,094.19 / $1,617.15	Professional		$663.86	$1,094.19	$1,617.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $658.56 / $1,205.50 / $9,036.82	Facility		$658.56	$1,205.50	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.91 / $1,181.95 / $4,024.14	Professional		$660.91	$1,181.95	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $633.36 / $1,227.85	Professional		$97.86	$633.36	$1,227.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.68 / $1,029.11 / $1,071.33	Facility		$750.68	$1,029.11	$1,071.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.68 / $730.74 / $2,173.03	Facility		$706.68	$730.74	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $752.17 / $1,218.92 / $1,498.74	Professional		$752.17	$1,218.92	$1,498.74
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 $720.72 / $1,046.86 / $1,415.91	Professional		$720.72	$1,046.86	$1,415.91
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 $675.85 / $1,075.21 / $1,520.65	Professional		$675.85	$1,075.21	$1,520.65