Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.03 / $6,470.00 / $22,024.00	Facility		$1,502.03	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.70 / $1,502.03 / $2,853.86	Professional		$814.70	$1,502.03	$2,853.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,308.26 / $6,858.44 / $14,605.02	Facility		$1,308.26	$6,858.44	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.05 / $2,320.40 / $8,381.48	Professional		$1,363.05	$2,320.40	$8,381.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $2,876.24	Facility		$1,031.00	$1,031.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.68 / $1,576.41 / $3,065.56	Professional		$964.68	$1,576.41	$3,065.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,154.73 / $1,467.34 / $2,671.26	Facility		$1,154.73	$1,467.34	$2,671.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,154.73 / $1,476.53 / $2,671.26	Professional		$1,154.73	$1,476.53	$2,671.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $576.78 / $1,963.61	Professional		$116.38	$576.78	$1,963.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,322.69 / $1,829.10 / $1,973.82	Facility		$1,322.69	$1,829.10	$1,973.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $1,308.26 / $1,346.32	Facility		$1,126.18	$1,308.26	$1,346.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,385.80 / $2,225.63 / $2,672.32	Professional		$1,385.80	$2,225.63	$2,672.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,334.26 / $1,936.64 / $2,527.30	Professional		$1,334.26	$1,936.64	$2,527.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.27 / $1,526.25 / $2,742.41	Professional		$1,136.27	$1,526.25	$2,742.41