Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.95 / $9,513.92 / $27,982.24	Facility		$1,689.95	$9,513.92	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,172.74 / $1,689.95 / $2,389.48	Professional		$1,172.74	$1,689.95	$2,389.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,019.94 / $18,822.54 / $18,822.54	Facility		$2,019.94	$18,822.54	$18,822.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.58 / $3,506.39 / $12,899.55	Professional		$2,041.58	$3,506.39	$12,899.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,521.84 / $4,521.84 / $4,521.84	Professional		$4,521.84	$4,521.84	$4,521.84
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 $1,944.80 / $2,822.41 / $2,961.40	Facility		$1,944.80	$2,822.41	$2,961.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,019.94 / $2,019.94 / $2,184.37	Facility		$2,019.94	$2,019.94	$2,184.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,134.42 / $3,363.18 / $4,025.29	Professional		$2,134.42	$3,363.18	$4,025.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,041.58 / $2,984.08 / $4,118.46	Professional		$2,041.58	$2,984.08	$4,118.46
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 $2,332.26 / $3,116.54 / $4,579.10	Professional		$2,332.26	$3,116.54	$4,579.10