Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.63 / $7,920.26 / $27,982.24	Facility		$997.63	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.29 / $1,059.83 / $1,578.54	Professional		$946.29	$1,059.83	$1,578.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,695.01 / $6,733.25 / $6,733.25	Facility		$1,695.01	$6,733.25	$6,733.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,695.01 / $2,870.77 / $10,921.43	Professional		$1,695.01	$2,870.77	$10,921.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.10 / $1,109.10 / $1,109.10	Professional		$1,109.10	$1,109.10	$1,109.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,094.60 / $2,235.96 / $2,925.90	Facility		$1,094.60	$2,235.96	$2,925.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.60 / $2,234.71 / $2,925.90	Professional		$1,094.60	$2,234.71	$2,925.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.31 / $444.53 / $2,738.53	Professional		$109.31	$444.53	$2,738.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,783.44 / $2,261.67 / $2,485.03	Facility		$1,783.44	$2,261.67	$2,485.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,676.55 / $1,676.55 / $1,695.01	Facility		$1,676.55	$1,676.55	$1,695.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,749.95 / $2,811.53 / $3,393.49	Professional		$1,749.95	$2,811.53	$3,393.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,709.86 / $2,412.63 / $3,186.03	Professional		$1,709.86	$2,412.63	$3,186.03
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.06 / $1,937.40 / $3,510.25	Professional		$1,244.06	$1,937.40	$3,510.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,028.90 / $1,028.90 / $1,028.90	Professional		$1,028.90	$1,028.90	$1,028.90