Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.52 / $1,424.34 / $3,109.50	Professional		$1,063.52	$1,424.34	$3,109.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,642.58 / $13,249.10 / $26,963.11	Facility		$1,642.58	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.13 / $2,897.13 / $10,559.03	Professional		$1,722.13	$2,897.13	$10,559.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,469.84 / $2,517.82 / $3,672.98	Professional		$1,469.84	$2,517.82	$3,672.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,515.36 / $2,608.90 / $11,411.87	Facility		$1,515.36	$2,608.90	$11,411.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,515.36 / $2,522.66 / $3,661.87	Professional		$1,515.36	$2,522.66	$3,661.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.67 / $492.59 / $2,614.10	Professional		$140.67	$492.59	$2,614.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,767.96 / $2,310.83 / $2,465.67	Facility		$1,767.96	$2,310.83	$2,465.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,642.58 / $1,642.58 / $1,673.08	Facility		$1,642.58	$1,642.58	$1,673.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.27 / $2,790.78 / $3,431.46	Professional		$1,743.27	$2,790.78	$3,431.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,675.21 / $2,406.73 / $3,241.82	Professional		$1,675.21	$2,406.73	$3,241.82
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 $1,547.70 / $2,442.53 / $3,526.01	Professional		$1,547.70	$2,442.53	$3,526.01