Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,301.65 / $5,578.06 / $13,491.60	Facility		$2,301.65	$5,578.06	$13,491.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.13 / $2,301.65 / $3,623.87	Professional		$1,469.13	$2,301.65	$3,623.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $3,917.70 / $8,569.95	Facility		$2,570.98	$3,917.70	$8,569.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $5,015.47 / $18,364.20	Professional		$2,203.69	$5,015.47	$18,364.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,302.30 / $3,978.90 / $6,322.47	Facility		$1,302.30	$3,978.90	$6,322.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.02 / $2,662.19 / $3,579.35	Professional		$1,208.02	$2,662.19	$3,579.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $3,060.70 / $8,380.31	Facility		$2,448.56	$3,060.70	$8,380.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $3,599.38 / $7,573.55	Professional		$2,448.56	$3,599.38	$7,573.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $2,570.98 / $3,672.84	Facility		$2,448.56	$2,570.98	$3,672.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.56 / $4,284.97 / $7,345.68	Facility		$2,448.56	$4,284.97	$7,345.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $3,060.70 / $3,697.33	Professional		$2,203.69	$3,060.70	$3,697.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.98 / $3,917.70 / $6,733.54	Facility		$2,570.98	$3,917.70	$6,733.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,708.11 / $4,764.70 / $5,693.54	Professional		$2,708.11	$4,764.70	$5,693.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $2,742.39	Professional		$1,028.40	$1,028.40	$2,742.39