Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.80 / $1,212.46 / $2,754.36	Professional		$890.80	$1,212.46	$2,754.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,433.20 / $17,574.13 / $36,111.08	Facility		$5,433.20	$17,574.13	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,386.27 / $2,220.39 / $8,452.35	Professional		$1,386.27	$2,220.39	$8,452.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $7,318.13	Facility		$625.25	$761.81	$7,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.41 / $1,727.08 / $2,923.89	Professional		$971.41	$1,727.08	$2,923.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $987.88 / $2,009.93 / $6,417.76	Facility		$987.88	$2,009.93	$6,417.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.34 / $1,980.63 / $5,526.27	Professional		$926.34	$1,980.63	$5,526.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.20 / $466.80 / $1,992.72	Professional		$109.20	$466.80	$1,992.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,359.02 / $1,862.60 / $1,945.68	Facility		$1,359.02	$1,862.60	$1,945.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,293.32 / $1,327.13 / $5,433.20	Facility		$1,293.32	$1,327.13	$5,433.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.80 / $2,112.69 / $2,634.22	Professional		$1,481.80	$2,112.69	$2,634.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,319.01 / $1,893.03 / $2,537.92	Professional		$1,319.01	$1,893.03	$2,537.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,154.58 / $1,569.32 / $2,752.20	Professional		$1,154.58	$1,569.32	$2,752.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $808.88 / $808.88 / $1,041.92	Professional		$808.88	$808.88	$1,041.92