Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.31 / $2,557.85 / $20,680.40	Facility		$1,269.31	$2,557.85	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.99 / $1,269.31 / $2,557.85	Professional		$887.99	$1,269.31	$2,557.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,339.97 / $18,367.04	Facility		$55.00	$1,339.97	$18,367.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.08 / $2,352.13 / $11,892.55	Professional		$1,405.08	$2,352.13	$11,892.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.57 / $1,978.43 / $2,969.71	Professional		$1,326.57	$1,978.43	$2,969.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $949.22 / $2,076.30 / $2,547.28	Facility		$949.22	$2,076.30	$2,547.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.78 / $2,076.30 / $2,690.87	Professional		$1,227.78	$2,076.30	$2,690.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $289.80 / $2,115.62	Professional		$78.89	$289.80	$2,115.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,400.69 / $1,902.41 / $2,001.29	Facility		$1,400.69	$1,902.41	$2,001.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,339.97 / $1,339.97 / $1,365.06	Facility		$1,339.97	$1,339.97	$1,365.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,410.47 / $2,256.07 / $2,709.51	Professional		$1,410.47	$2,256.07	$2,709.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,366.60 / $1,963.65 / $2,644.99	Professional		$1,366.60	$1,963.65	$2,644.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.00 / $1,740.60 / $2,862.72	Professional		$1,230.00	$1,740.60	$2,862.72