Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $30,494.41	Facility		$988.00	$6,470.00	$30,494.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.34 / $870.58 / $1,945.63	Professional		$693.34	$870.58	$1,945.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $15,988.64 / $31,278.54	Facility		$9,817.25	$15,988.64	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,129.90 / $1,982.87 / $7,142.25	Professional		$1,129.90	$1,982.87	$7,142.25
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 $944.69 / $1,626.61 / $2,383.29	Professional		$944.69	$1,626.61	$2,383.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $979.02 / $1,698.83 / $12,028.17	Facility		$979.02	$1,698.83	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $981.26 / $1,620.60 / $4,564.68	Professional		$981.26	$1,620.60	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $460.76 / $1,519.24	Professional		$106.65	$460.76	$1,519.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,074.61 / $1,486.06 / $1,609.34	Facility		$1,074.61	$1,486.06	$1,609.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,069.99 / $1,097.71 / $2,429.53	Facility		$1,069.99	$1,097.71	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,129.90 / $1,829.60 / $2,251.39	Professional		$1,129.90	$1,829.60	$2,251.39
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 $1,091.24 / $1,579.07 / $2,126.96	Professional		$1,091.24	$1,579.07	$2,126.96
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $20,867.06 / $33,377.36	Facility		$12,579.00	$20,867.06	$33,377.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.80 / $1,570.68 / $2,306.59	Professional		$1,000.80	$1,570.68	$2,306.59