Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,099.47 / $7,920.26 / $20,680.40	Facility		$4,099.47	$7,920.26	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,414.38 / $4,099.47 / $7,963.77	Professional		$2,414.38	$4,099.47	$7,963.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,960.58 / $37,725.60	Facility		$55.00	$3,960.58	$37,725.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,254.35 / $7,312.30 / $25,276.50	Professional		$4,254.35	$7,312.30	$25,276.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,730.29 / $6,130.05 / $8,930.07	Professional		$3,730.29	$6,130.05	$8,930.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,665.40 / $6,031.98 / $7,614.56	Facility		$3,665.40	$6,031.98	$7,614.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,670.21 / $6,044.02 / $7,678.37	Professional		$3,670.21	$6,044.02	$7,678.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.19 / $1,040.78 / $6,308.35	Professional		$318.19	$1,040.78	$6,308.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,256.33 / $5,694.08 / $5,933.68	Facility		$4,256.33	$5,694.08	$5,933.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,960.58 / $3,960.58 / $4,018.86	Facility		$3,960.58	$3,960.58	$4,018.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,254.35 / $6,703.67 / $8,242.62	Professional		$4,254.35	$6,703.67	$8,242.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,039.27 / $5,781.18 / $7,787.09	Professional		$4,039.27	$5,781.18	$7,787.09
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 $3,717.67 / $5,938.79 / $8,506.04	Professional		$3,717.67	$5,938.79	$8,506.04