Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $20,680.40	Facility		$1,733.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,137.51 / $1,650.14 / $3,064.63	Professional		$1,137.51	$1,650.14	$3,064.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,751.77 / $2,931.13 / $14,283.70	Professional		$1,751.77	$2,931.13	$14,283.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.86 / $2,601.69 / $3,797.79	Professional		$1,510.86	$2,601.69	$3,797.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,565.76 / $2,751.01 / $11,234.92	Facility		$1,565.76	$2,751.01	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,611.21 / $2,591.48 / $4,655.70	Professional		$1,611.21	$2,591.48	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $373.32 / $2,694.37	Professional		$78.54	$373.32	$2,694.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.35 / $2,343.59 / $2,512.60	Facility		$1,819.35	$2,343.59	$2,512.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,673.84 / $1,701.87 / $2,513.62	Facility		$1,673.84	$1,701.87	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,794.89 / $2,838.81 / $3,490.51	Professional		$1,794.89	$2,838.81	$3,490.51
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 $1,707.09 / $2,448.16 / $3,297.60	Professional		$1,707.09	$2,448.16	$3,297.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,516.18 / $2,468.80 / $3,601.31	Professional		$1,516.18	$2,468.80	$3,601.31