Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.74 / $5,128.00 / $20,680.40	Facility		$1,589.74	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.90 / $1,011.64 / $2,195.10	Professional		$753.90	$1,011.64	$2,195.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.66 / $8,327.75 / $16,947.71	Facility		$1,164.66	$8,327.75	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.09 / $2,150.53 / $7,494.90	Professional		$1,222.09	$2,150.53	$7,494.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.46 / $1,788.85 / $2,610.46	Professional		$1,029.46	$1,788.85	$2,610.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,076.88 / $1,826.77 / $7,931.04	Facility		$1,076.88	$1,826.77	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.88 / $1,766.38 / $2,610.00	Professional		$1,076.88	$1,766.38	$2,610.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.30 / $943.44 / $1,932.09	Professional		$146.30	$943.44	$1,932.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,231.36 / $1,662.94 / $1,740.66	Facility		$1,231.36	$1,662.94	$1,740.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,164.66 / $1,187.29 / $1,367.95	Facility		$1,164.66	$1,187.29	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,222.09 / $1,980.46 / $2,435.11	Professional		$1,222.09	$1,980.46	$2,435.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,187.80 / $1,707.93 / $2,300.53	Professional		$1,187.80	$1,707.93	$2,300.53
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 $1,098.69 / $1,871.48 / $2,628.58	Professional		$1,098.69	$1,871.48	$2,628.58