Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.83 / $2,302.28 / $20,680.40	Facility		$1,089.83	$2,302.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.05 / $1,089.83 / $2,093.71	Professional		$728.05	$1,089.83	$2,093.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,093.08 / $16,854.66	Facility		$55.00	$1,093.08	$16,854.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.65 / $2,006.94 / $7,156.05	Professional		$1,167.65	$2,006.94	$7,156.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.56 / $1,653.13 / $2,424.56	Professional		$1,038.56	$1,653.13	$2,424.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $988.10 / $1,689.97 / $2,052.44	Facility		$988.10	$1,689.97	$2,052.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.27 / $1,689.97 / $2,052.44	Professional		$989.27	$1,689.97	$2,052.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $272.06 / $1,749.68	Professional		$73.20	$272.06	$1,749.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,183.89 / $1,552.43 / $1,631.45	Facility		$1,183.89	$1,552.43	$1,631.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,093.08 / $1,093.08 / $1,112.80	Facility		$1,093.08	$1,093.08	$1,112.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.65 / $1,856.20 / $2,282.33	Professional		$1,167.65	$1,856.20	$2,282.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,114.81 / $1,600.77 / $2,156.19	Professional		$1,114.81	$1,600.77	$2,156.19
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 $1,036.64 / $1,704.93 / $2,453.06	Professional		$1,036.64	$1,704.93	$2,453.06