Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $6,987.24 / $12,880.50	Facility		$0.03	$6,987.24	$12,880.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,459.72 / $3,459.72 / $15,031.10	Professional		$3,459.72	$3,459.72	$15,031.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.53 / $3,740.24 / $9,657.77	Facility		$2,454.53	$3,740.24	$9,657.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,103.89 / $4,779.68 / $17,532.38	Professional		$2,103.89	$4,779.68	$17,532.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,354.27 / $4,786.33 / $6,036.09	Facility		$2,354.27	$4,786.33	$6,036.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,363.21 / $2,719.94 / $3,308.49	Professional		$2,363.21	$2,719.94	$3,308.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $2,892.51 / $7,231.28	Facility		$2,337.65	$2,892.51	$7,231.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,337.65 / $3,974.00 / $7,231.28	Professional		$2,337.65	$3,974.00	$7,231.28
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 $2,337.65 / $2,337.65 / $3,506.48	Facility		$2,337.65	$2,337.65	$3,506.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,337.65 / $4,090.89 / $7,012.95	Facility		$2,337.65	$4,090.89	$7,012.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,103.89 / $2,922.06 / $3,529.85	Professional		$2,103.89	$2,922.06	$3,529.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,454.53 / $3,740.24 / $6,428.54	Facility		$2,454.53	$3,740.24	$6,428.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,585.44 / $4,549.18 / $5,435.80	Professional		$2,585.44	$4,549.18	$5,435.80
United Facility/Professional Professional Modifier Low / Median / High Price $981.81 / $981.81 / $2,618.17	Professional		$981.81	$981.81	$2,618.17