Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.58 / $5,128.00 / $20,680.40	Facility		$1,109.58	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.71 / $757.75 / $1,522.07	Professional		$543.71	$757.75	$1,522.07
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 $848.13 / $1,489.02 / $5,182.72	Professional		$848.13	$1,489.02	$5,182.72
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 $715.00 / $1,248.56 / $1,827.08	Professional		$715.00	$1,248.56	$1,827.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $751.38 / $1,275.79 / $12,766.31	Facility		$751.38	$1,275.79	$12,766.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.37 / $1,226.92 / $4,564.68	Professional		$756.37	$1,226.92	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $726.72 / $1,395.95	Professional		$100.07	$726.72	$1,395.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $853.58 / $1,129.61 / $1,208.01	Facility		$853.58	$1,129.61	$1,208.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $823.97 / $2,429.53	Facility		$800.00	$823.97	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.13 / $1,365.05 / $1,689.95	Professional		$848.13	$1,365.05	$1,689.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,684.88 / $16,342.14 / $31,278.54	Facility		$10,684.88	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $815.89 / $1,185.30 / $1,596.56	Professional		$815.89	$1,185.30	$1,596.56
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 $741.14 / $1,169.54 / $1,732.12	Professional		$741.14	$1,169.54	$1,732.12