Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,821.94 / $5,673.14 / $22,024.00	Facility		$2,821.94	$5,673.14	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,017.54 / $2,821.94 / $5,720.06	Professional		$2,017.54	$2,821.94	$5,720.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $23,977.53	Facility		$55.00	$5,000.00	$23,977.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,312.56 / $5,314.13 / $21,363.45	Professional		$3,312.56	$5,314.13	$21,363.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $2,285.42	Facility		$714.97	$765.00	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.59 / $4,079.49 / $6,924.86	Professional		$2,333.59	$4,079.49	$6,924.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,137.44 / $4,158.18 / $5,584.55	Facility		$2,137.44	$4,158.18	$5,584.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,149.76 / $4,158.18 / $5,785.55	Professional		$2,149.76	$4,158.18	$5,785.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $374.31 / $2,284.24 / $5,036.97	Professional		$374.31	$2,284.24	$5,036.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,199.05 / $4,385.58 / $4,718.14	Facility		$3,199.05	$4,385.58	$4,718.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,115.73 / $3,115.73 / $3,218.19	Facility		$3,115.73	$3,115.73	$3,218.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,588.38 / $5,119.53 / $6,387.80	Professional		$3,588.38	$5,119.53	$6,387.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,177.64 / $4,580.68 / $6,098.37	Professional		$3,177.64	$4,580.68	$6,098.37
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 $2,693.00 / $3,686.18 / $6,634.80	Professional		$2,693.00	$3,686.18	$6,634.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,952.07 / $1,952.07 / $2,434.50	Professional		$1,952.07	$1,952.07	$2,434.50