Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.73 / $3,185.62 / $20,680.40	Facility		$1,515.73	$3,185.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.14 / $1,515.73 / $2,872.47	Professional		$988.14	$1,515.73	$2,872.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,519.36 / $20,854.88	Facility		$55.00	$1,519.36	$20,854.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.65 / $2,783.53 / $9,957.08	Professional		$1,595.65	$2,783.53	$9,957.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,405.32 / $2,300.46 / $3,374.96	Professional		$1,405.32	$2,300.46	$3,374.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,373.09 / $2,298.56 / $2,869.54	Facility		$1,373.09	$2,298.56	$2,869.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.11 / $2,298.56 / $2,869.54	Professional		$1,383.11	$2,298.56	$2,869.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $489.37 / $2,393.39	Professional		$107.93	$489.37	$2,393.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,581.89 / $2,162.80 / $2,270.63	Facility		$1,581.89	$2,162.80	$2,270.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.36 / $1,519.36 / $1,548.77	Facility		$1,519.36	$1,519.36	$1,548.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,622.81 / $2,583.42 / $3,176.51	Professional		$1,622.81	$2,583.42	$3,176.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,549.55 / $2,227.92 / $3,000.96	Professional		$1,549.55	$2,227.92	$3,000.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.72 / $1,612.00 / $5,793.00	Facility		$1,101.72	$1,612.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,432.70 / $2,295.31 / $3,248.90	Professional		$1,432.70	$2,295.31	$3,248.90