Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.24 / $1,918.72 / $14,464.32	Facility		$1,146.24	$1,918.72	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.60 / $952.20 / $1,767.77	Professional		$549.60	$952.20	$1,767.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $12,632.68	Facility		$1,126.18	$6,603.99	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,002.54 / $1,640.41 / $5,516.40	Professional		$1,002.54	$1,640.41	$5,516.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,876.24	Facility		$479.00	$479.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $1,117.34 / $2,144.71	Professional		$686.24	$1,117.34	$2,144.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $771.72 / $1,260.08 / $2,120.86	Facility		$771.72	$1,260.08	$2,120.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.49 / $1,314.28 / $1,968.64	Professional		$776.49	$1,314.28	$1,968.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $452.25 / $1,444.78	Professional		$78.85	$452.25	$1,444.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $995.16 / $1,376.18 / $1,479.36	Facility		$995.16	$1,376.18	$1,479.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $983.01 / $983.01 / $1,009.06	Facility		$983.01	$983.01	$1,009.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.61 / $1,470.00 / $1,890.06	Professional		$1,007.61	$1,470.00	$1,890.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $842.23 / $1,387.18 / $1,877.05	Professional		$842.23	$1,387.18	$1,877.05
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 $824.20 / $1,104.15 / $2,069.09	Professional		$824.20	$1,104.15	$2,069.09