Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,549.45 / $6,623.55 / $20,680.40	Facility		$1,549.45	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.53 / $1,549.45 / $1,700.33	Professional		$905.53	$1,549.45	$1,700.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,831.23 / $2,197.46 / $4,834.43	Facility		$1,831.23	$2,197.46	$4,834.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,022.39 / $3,417.38 / $12,843.83	Professional		$2,022.39	$3,417.38	$12,843.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.65 / $2,082.65 / $2,082.65	Professional		$2,082.65	$2,082.65	$2,082.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,502.31 / $4,502.31 / $4,502.31	Professional		$4,502.31	$4,502.31	$4,502.31
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 $1,936.44 / $2,871.57 / $2,948.67	Facility		$1,936.44	$2,871.57	$2,948.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,002.26 / $2,002.26 / $2,011.26	Facility		$2,002.26	$2,002.26	$2,011.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,070.23 / $3,270.80 / $4,125.06	Professional		$2,070.23	$3,270.80	$4,125.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,831.23 / $2,197.46 / $4,175.18	Facility		$1,831.23	$2,197.46	$4,175.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,934.39 / $2,893.22 / $3,897.09	Professional		$1,934.39	$2,893.22	$3,897.09
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,851.75 / $3,102.45 / $4,248.21	Professional		$1,851.75	$3,102.45	$4,248.21