Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,457.19 / $5,116.62 / $20,680.40	Facility		$1,457.19	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.41 / $1,053.60 / $2,176.00	Professional		$754.41	$1,053.60	$2,176.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,518.34 / $5,772.11 / $14,934.15	Facility		$3,518.34	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,124.73 / $1,961.29 / $6,812.55	Professional		$1,124.73	$1,961.29	$6,812.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.76 / $1,639.70 / $2,414.08	Professional		$997.76	$1,639.70	$2,414.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $982.06 / $1,712.36 / $5,967.13	Facility		$982.06	$1,712.36	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.40 / $1,686.01 / $2,203.19	Professional		$986.40	$1,686.01	$2,203.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $938.12 / $1,845.64	Professional		$100.41	$938.12	$1,845.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,137.29 / $1,549.71 / $1,620.06	Facility		$1,137.29	$1,549.71	$1,620.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $1,061.38 / $1,092.69	Facility		$839.66	$1,061.38	$1,092.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.73 / $1,822.66 / $2,241.08	Professional		$1,124.73	$1,822.66	$2,241.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,082.47 / $1,564.54 / $2,117.23	Professional		$1,082.47	$1,564.54	$2,117.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.79 / $1,549.71 / $2,281.46	Professional		$1,010.79	$1,549.71	$2,281.46