Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,424.16 / $8,369.76 / $22,634.12	Facility		$1,424.16	$8,369.76	$22,634.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.20 / $1,021.10 / $1,992.58	Professional		$742.20	$1,021.10	$1,992.58
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 $1,096.50 / $1,826.18 / $6,622.28	Professional		$1,096.50	$1,826.18	$6,622.28
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 $952.27 / $1,602.54 / $2,360.42	Professional		$952.27	$1,602.54	$2,360.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $944.28 / $1,759.78 / $9,391.74	Facility		$944.28	$1,759.78	$9,391.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.74 / $1,689.78 / $4,024.14	Professional		$964.74	$1,689.78	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $938.83 / $1,795.07	Professional		$99.92	$938.83	$1,795.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,136.80 / $1,476.01 / $1,561.77	Facility		$1,136.80	$1,476.01	$1,561.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,027.85 / $1,065.27 / $2,173.03	Facility		$1,027.85	$1,065.27	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.50 / $1,768.38 / $2,184.85	Professional		$1,096.50	$1,768.38	$2,184.85
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 $1,048.28 / $1,531.06 / $2,064.10	Professional		$1,048.28	$1,531.06	$2,064.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $8,242.00 / $16,315.00	Facility		$2,912.00	$8,242.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.80 / $1,506.19 / $2,222.57	Professional		$976.80	$1,506.19	$2,222.57