Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,713.96 / $5,128.00 / $19,439.28	Facility		$1,713.96	$5,128.00	$19,439.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.44 / $1,239.78 / $2,718.81	Professional		$962.44	$1,239.78	$2,718.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $26,106.65 / $49,939.07	Facility		$8,562.96	$26,106.65	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.94 / $2,308.23 / $8,021.63	Professional		$1,342.94	$2,308.23	$8,021.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,795.54 / $6,795.54 / $11,321.29	Facility		$6,795.54	$6,795.54	$11,321.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,180.67 / $1,928.62 / $2,840.78	Professional		$1,180.67	$1,928.62	$2,840.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $2,177.83 / $10,355.62	Facility		$1,162.00	$2,177.83	$10,355.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.18 / $2,095.39 / $7,627.76	Professional		$1,172.18	$2,095.39	$7,627.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,122.60 / $2,154.33	Professional		$150.54	$1,122.60	$2,154.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,447.95 / $1,835.13 / $1,914.88	Facility		$1,447.95	$1,835.13	$1,914.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.19 / $1,286.91 / $2,173.03	Facility		$1,251.19	$1,286.91	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,324.65 / $2,146.64 / $2,639.44	Professional		$1,324.65	$2,146.64	$2,639.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,231.92 / $25,527.34 / $49,939.07	Facility		$16,231.92	$25,527.34	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,276.04 / $1,849.64 / $2,493.57	Professional		$1,276.04	$1,849.64	$2,493.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.52 / $1,960.88 / $2,685.05	Professional		$1,202.52	$1,960.88	$2,685.05