Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.47 / $6,470.00 / $21,917.86	Facility		$1,125.47	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.82 / $1,125.47 / $2,150.83	Professional		$634.82	$1,125.47	$2,150.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,189.34 / $6,603.99 / $14,605.02	Facility		$1,189.34	$6,603.99	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.38 / $1,826.83 / $6,309.45	Professional		$1,028.38	$1,826.83	$6,309.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,876.24	Facility		$906.00	$906.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.17 / $1,191.73 / $2,299.42	Professional		$750.17	$1,191.73	$2,299.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $901.00 / $1,426.06 / $2,522.36	Facility		$901.00	$1,426.06	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $1,426.06 / $2,302.50	Professional		$901.00	$1,426.06	$2,302.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $420.53 / $1,452.65	Professional		$78.68	$420.53	$1,452.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,035.85 / $1,425.76 / $1,488.74	Facility		$1,035.85	$1,425.76	$1,488.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $980.75 / $980.75 / $1,126.18	Facility		$980.75	$980.75	$1,126.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.23 / $1,674.74 / $2,015.58	Professional		$1,045.23	$1,674.74	$2,015.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,840.91 / $6,600.21 / $12,632.68	Facility		$4,840.91	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.23 / $1,460.74 / $1,903.62	Professional		$1,000.23	$1,460.74	$1,903.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,220.00 / $2,136.00 / $10,522.00	Facility		$1,220.00	$2,136.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.50 / $1,127.84 / $2,042.89	Professional		$870.50	$1,127.84	$2,042.89