Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.86 / $3,328.99 / $20,680.40	Facility		$1,550.86	$3,328.99	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.20 / $1,550.86 / $3,027.43	Professional		$962.20	$1,550.86	$3,027.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,657.07 / $5,897.00 / $19,836.04	Facility		$1,657.07	$5,897.00	$19,836.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,690.00 / $2,901.89 / $10,825.35	Professional		$1,690.00	$2,901.89	$10,825.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,478.34 / $2,510.66 / $3,679.90	Professional		$1,478.34	$2,510.66	$3,679.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,441.15 / $2,391.03 / $3,018.35	Facility		$1,441.15	$2,391.03	$3,018.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.84 / $2,391.03 / $3,085.28	Professional		$1,454.84	$2,391.03	$3,085.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $575.57 / $2,549.73	Professional		$111.35	$575.57	$2,549.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,671.39 / $2,287.38 / $2,465.60	Facility		$1,671.39	$2,287.38	$2,465.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,657.07 / $1,657.07 / $1,681.76	Facility		$1,657.07	$1,657.07	$1,681.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,731.07 / $2,805.26 / $3,449.26	Professional		$1,731.07	$2,805.26	$3,449.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,690.00 / $2,419.23 / $3,258.64	Professional		$1,690.00	$2,419.23	$3,258.64
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 $1,473.78 / $2,456.30 / $3,531.79	Professional		$1,473.78	$2,456.30	$3,531.79