Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,272.96 / $4,500.00 / $20,680.40	Facility		$2,272.96	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,530.98 / $2,272.96 / $4,429.95	Professional		$1,530.98	$2,272.96	$4,429.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,300.79 / $25,490.14	Facility		$55.00	$2,300.79	$25,490.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,425.67 / $4,214.74 / $15,024.00	Professional		$2,425.67	$4,214.74	$15,024.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,127.51 / $3,462.99 / $5,065.56	Professional		$2,127.51	$3,462.99	$5,065.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,082.39 / $3,455.43 / $4,344.38	Facility		$2,082.39	$3,455.43	$4,344.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.98 / $3,468.60 / $4,344.38	Professional		$2,093.98	$3,468.60	$4,344.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.72 / $589.56 / $3,573.24	Professional		$169.72	$589.56	$3,573.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,433.64 / $3,241.44 / $3,430.60	Facility		$2,433.64	$3,241.44	$3,430.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,300.79 / $2,300.79 / $2,334.36	Facility		$2,300.79	$2,300.79	$2,334.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,452.17 / $3,893.83 / $4,787.72	Professional		$2,452.17	$3,893.83	$4,787.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,346.50 / $3,358.00 / $4,523.13	Professional		$2,346.50	$3,358.00	$4,523.13
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 $2,158.73 / $3,507.01 / $4,959.89	Professional		$2,158.73	$3,507.01	$4,959.89