Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.61 / $11,522.02 / $21,790.55	Facility		$1,642.61	$11,522.02	$21,790.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $949.31 / $2,252.67	Professional		$750.87	$949.31	$2,252.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $11,522.14 / $25,481.74	Facility		$2,031.87	$11,522.14	$25,481.74
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $676.94 / $1,125.97 / $1,125.97	Facility	AS	$676.94	$1,125.97	$1,125.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.74 / $2,081.91 / $7,588.48	Professional		$1,218.74	$2,081.91	$7,588.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $4,960.67	Facility		$906.00	$906.00	$4,960.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $896.79 / $1,426.79 / $2,751.03	Professional		$896.79	$1,426.79	$2,751.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,153.50 / $2,152.19 / $4,350.34	Facility		$1,153.50	$2,152.19	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.50 / $2,129.98 / $3,678.65	Professional		$1,153.50	$2,129.98	$3,678.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $484.64 / $1,716.38	Professional		$78.85	$484.64	$1,716.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,303.80 / $1,711.18 / $1,873.32	Facility		$1,303.80	$1,711.18	$1,873.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.63 / $1,174.63 / $1,513.58	Facility		$1,174.63	$1,174.63	$1,513.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,250.79 / $2,001.17 / $2,411.98	Professional		$1,250.79	$2,001.17	$2,411.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,197.97 / $1,748.03 / $2,729.46	Professional		$1,197.97	$1,748.03	$2,729.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,093.92 / $1,399.20 / $2,498.48	Professional		$1,093.92	$1,399.20	$2,498.48