Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.43 / $10,122.46 / $27,982.24	Facility		$1,714.43	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.23 / $1,714.43 / $2,849.30	Professional		$894.23	$1,714.43	$2,849.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,354.69 / $34,352.32 / $34,352.32	Facility		$2,354.69	$34,352.32	$34,352.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.48 / $4,124.37 / $16,186.20	Professional		$2,401.48	$4,124.37	$16,186.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,673.63 / $5,673.63 / $5,673.63	Professional		$5,673.63	$5,673.63	$5,673.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,043.63 / $3,560.99 / $3,715.82	Facility		$3,043.63	$3,560.99	$3,715.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,354.69 / $2,354.69 / $2,534.52	Facility		$2,354.69	$2,354.69	$2,534.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,534.52 / $3,955.92 / $5,030.78	Professional		$2,534.52	$3,955.92	$5,030.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,401.48 / $3,558.31 / $4,910.97	Professional		$2,401.48	$3,558.31	$4,910.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,656.48 / $2,642.47 / $4,939.07	Professional		$1,656.48	$2,642.47	$4,939.07