Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.86 / $3,618.65 / $22,024.00	Facility		$1,557.86	$3,618.65	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.45 / $1,557.86 / $3,618.65	Professional		$1,186.45	$1,557.86	$3,618.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $20,249.18	Facility		$55.00	$5,000.00	$20,249.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,757.41 / $2,703.52 / $11,130.10	Professional		$1,757.41	$2,703.52	$11,130.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.19 / $2,217.73 / $3,754.11	Professional		$1,321.19	$2,217.73	$3,754.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,188.54 / $2,362.15 / $3,040.33	Facility		$1,188.54	$2,362.15	$3,040.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,188.54 / $2,414.94 / $3,145.74	Professional		$1,188.54	$2,414.94	$3,145.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.89 / $557.38 / $2,558.44	Professional		$136.89	$557.38	$2,558.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,803.31 / $2,414.01 / $2,503.12	Facility		$1,803.31	$2,414.01	$2,503.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,665.68 / $1,665.68 / $1,707.35	Facility		$1,665.68	$1,665.68	$1,707.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.68 / $2,720.98 / $3,388.93	Professional		$1,905.68	$2,720.98	$3,388.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.77 / $2,430.19 / $3,235.38	Professional		$1,698.77	$2,430.19	$3,235.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.26 / $2,023.73 / $3,566.97	Professional		$1,513.26	$2,023.73	$3,566.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,039.67 / $1,039.67 / $1,332.19	Professional		$1,039.67	$1,039.67	$1,332.19