Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.30 / $6,470.00 / $20,680.40	Facility		$1,584.30	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $854.66 / $1,584.30 / $2,960.06	Professional		$854.66	$1,584.30	$2,960.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.51 / $2,495.28 / $8,976.08	Professional		$1,459.51	$2,495.28	$8,976.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.41 / $1,655.89 / $3,291.76	Professional		$971.41	$1,655.89	$3,291.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,176.85 / $1,863.78 / $3,376.68	Facility		$1,176.85	$1,863.78	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,176.85 / $1,863.78 / $3,296.60	Professional		$1,176.85	$1,863.78	$3,296.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $641.96 / $2,073.17	Professional		$116.54	$641.96	$2,073.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,331.41 / $1,912.85 / $2,111.17	Facility		$1,331.41	$1,912.85	$2,111.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.85 / $1,403.85 / $1,440.01	Facility		$1,403.85	$1,403.85	$1,440.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,482.23 / $2,379.01 / $2,858.27	Professional		$1,482.23	$2,379.01	$2,858.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,431.74 / $2,073.67 / $2,680.64	Professional		$1,431.74	$2,073.67	$2,680.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,151.06 / $1,567.97 / $2,826.45	Professional		$1,151.06	$1,567.97	$2,826.45