Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,682.39 / $7,611.70 / $22,024.00	Facility		$3,682.39	$7,611.70	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,726.00 / $3,682.39 / $8,438.75	Professional		$2,726.00	$3,682.39	$8,438.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $48,684.86	Facility		$55.00	$5,000.00	$48,684.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,393.88 / $6,946.26 / $27,922.65	Professional		$4,393.88	$6,946.26	$27,922.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,285.42	Facility		$2,000.00	$2,285.42	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,085.67 / $5,326.43 / $9,034.66	Professional		$3,085.67	$5,326.43	$9,034.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,871.53 / $5,746.54 / $7,299.24	Facility		$2,871.53	$5,746.54	$7,299.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,871.53 / $5,784.47 / $7,553.71	Professional		$2,871.53	$5,784.47	$7,553.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $324.65 / $1,242.44 / $6,204.24	Professional		$324.65	$1,242.44	$6,204.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,299.45 / $5,721.66 / $6,162.66	Facility		$4,299.45	$5,721.66	$6,162.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.38 / $4,073.38 / $4,203.49	Facility		$4,073.38	$4,073.38	$4,203.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,690.47 / $6,686.95 / $8,343.51	Professional		$4,690.47	$6,686.95	$8,343.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,154.30 / $5,983.12 / $7,965.47	Professional		$4,154.30	$5,983.12	$7,965.47
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,691.37 / $4,970.59 / $8,701.09	Professional		$3,691.37	$4,970.59	$8,701.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,549.76 / $2,549.76 / $3,171.36	Professional		$2,549.76	$2,549.76	$3,171.36