Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,343.28 / $5,128.00 / $20,680.40	Facility		$1,343.28	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.03 / $855.80 / $1,860.71	Professional		$639.03	$855.80	$1,860.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.47 / $1,726.64 / $7,167.45	Professional		$1,034.47	$1,726.64	$7,167.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.93 / $1,511.51 / $2,207.27	Professional		$887.93	$1,511.51	$2,207.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $909.72 / $1,655.10 / $12,028.17	Facility		$909.72	$1,655.10	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.97 / $1,568.82 / $4,564.68	Professional		$936.97	$1,568.82	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $884.34 / $1,687.94	Professional		$99.92	$884.34	$1,687.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,017.24 / $1,394.94 / $1,481.04	Facility		$1,017.24	$1,394.94	$1,481.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.63 / $1,005.40 / $2,429.53	Facility		$986.63	$1,005.40	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.08 / $1,677.06 / $2,062.06	Professional		$1,052.08	$1,677.06	$2,062.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,006.24 / $1,446.28 / $1,948.10	Professional		$1,006.24	$1,446.28	$1,948.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.64 / $1,439.32 / $2,223.79	Professional		$937.64	$1,439.32	$2,223.79