Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.10 / $5,345.09 / $20,680.40	Facility		$2,463.10	$5,345.09	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,719.06 / $2,463.10 / $4,871.27	Professional		$1,719.06	$2,463.10	$4,871.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $15,555.67 / $31,745.76	Facility		$2,000.00	$15,555.67	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,713.42 / $4,663.77 / $16,144.20	Professional		$2,713.42	$4,663.77	$16,144.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,286.96 / $3,910.71 / $5,709.11	Professional		$2,286.96	$3,910.71	$5,709.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,353.67 / $3,923.48 / $11,234.92	Facility		$2,353.67	$3,923.48	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,353.67 / $3,804.02 / $5,093.25	Professional		$2,353.67	$3,804.02	$5,093.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $668.09 / $4,039.58	Professional		$145.49	$668.09	$4,039.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,632.32 / $3,576.46 / $3,779.30	Facility		$2,632.32	$3,576.46	$3,779.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,513.62 / $2,521.40 / $2,566.51	Facility		$2,513.62	$2,521.40	$2,566.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,704.52 / $4,281.08 / $5,263.88	Professional		$2,704.52	$4,281.08	$5,263.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,571.48 / $3,691.96 / $4,972.97	Professional		$2,571.48	$3,691.96	$4,972.97
United Facility/Professional Facility Modifier Low / Median / High Price $10,312.00 / $21,157.82 / $33,842.43	Facility		$10,312.00	$21,157.82	$33,842.43
United Facility/Professional Professional Modifier Low / Median / High Price $2,348.71 / $3,676.51 / $5,425.14	Professional		$2,348.71	$3,676.51	$5,425.14