Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,997.04 / $5,116.62 / $20,680.40	Facility		$1,997.04	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,248.73 / $1,997.04 / $3,631.32	Professional		$1,248.73	$1,997.04	$3,631.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $15,599.20 / $31,745.76	Facility		$2,000.00	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,123.46 / $3,522.22 / $12,228.30	Professional		$2,123.46	$3,522.22	$12,228.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,686.63 / $2,978.08 / $4,361.87	Professional		$1,686.63	$2,978.08	$4,361.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,848.28 / $3,235.14 / $15,077.93	Facility		$1,848.28	$3,235.14	$15,077.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,848.28 / $2,992.32 / $4,433.17	Professional		$1,848.28	$2,992.32	$4,433.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.48 / $462.61 / $3,059.04	Professional		$138.48	$462.61	$3,059.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,133.46 / $2,690.72 / $2,887.70	Facility		$2,133.46	$2,690.72	$2,887.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,918.00 / $1,939.97 / $2,513.62	Facility		$1,918.00	$1,939.97	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,077.90 / $3,239.91 / $3,978.84	Professional		$2,077.90	$3,239.91	$3,978.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,676.54 / $16,595.73 / $31,745.76	Facility		$12,676.54	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,956.11 / $2,790.66 / $3,758.95	Professional		$1,956.11	$2,790.66	$3,758.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,794.57 / $2,986.99 / $4,111.10	Professional		$1,794.57	$2,986.99	$4,111.10