Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $8,369.76 / $18,711.00	Facility		$1,733.00	$8,369.76	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.47 / $1,269.74 / $2,727.72	Professional		$928.47	$1,269.74	$2,727.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,357.57 / $2,358.35 / $8,220.37	Professional		$1,357.57	$2,358.35	$8,220.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.33 / $1,976.90 / $2,910.98	Professional		$1,206.33	$1,976.90	$2,910.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,189.85 / $2,205.02 / $9,036.82	Facility		$1,189.85	$2,205.02	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.69 / $2,141.30 / $2,908.52	Professional		$1,196.69	$2,141.30	$2,908.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,131.23 / $2,224.76	Professional		$150.54	$1,131.23	$2,224.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,405.81 / $1,871.98 / $1,933.62	Facility		$1,405.81	$1,871.98	$1,933.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,281.99 / $1,318.90 / $1,470.05	Facility		$1,281.99	$1,318.90	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,357.57 / $2,200.00 / $2,705.05	Professional		$1,357.57	$2,200.00	$2,705.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,879.37 / $18,898.13	Facility		$7,208.83	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,307.46 / $1,887.65 / $2,555.55	Professional		$1,307.46	$1,887.65	$2,555.55
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 $1,230.25 / $1,982.76 / $2,752.63	Professional		$1,230.25	$1,982.76	$2,752.63