Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,870.56 / $5,489.02 / $20,680.40	Facility		$2,870.56	$5,489.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.48 / $2,870.56 / $5,454.06	Professional		$1,905.48	$2,870.56	$5,454.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,756.96 / $16,711.73	Facility		$55.00	$2,756.96	$16,711.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,877.44 / $5,089.56 / $17,603.09	Professional		$2,877.44	$5,089.56	$17,603.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,559.15 / $4,278.64 / $6,256.90	Professional		$2,559.15	$4,278.64	$6,256.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,517.54 / $4,148.42 / $5,223.12	Facility		$2,517.54	$4,148.42	$5,223.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,517.54 / $4,148.42 / $5,291.86	Professional		$2,517.54	$4,148.42	$5,291.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.60 / $761.07 / $4,413.28	Professional		$219.60	$761.07	$4,413.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,913.30 / $3,941.61 / $4,116.72	Facility		$2,913.30	$3,941.61	$4,116.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,756.96 / $2,756.96 / $2,795.47	Facility		$2,756.96	$2,756.96	$2,795.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,961.14 / $4,665.84 / $5,733.46	Professional		$2,961.14	$4,665.84	$5,733.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,811.73 / $4,021.31 / $5,416.60	Professional		$2,811.73	$4,021.31	$5,416.60
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 $2,575.98 / $4,021.38 / $5,920.44	Professional		$2,575.98	$4,021.38	$5,920.44