Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.42 / $2,009.40 / $20,680.40	Facility		$993.42	$2,009.40	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.17 / $993.42 / $2,009.40	Professional		$702.17	$993.42	$2,009.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,046.43 / $11,933.00 / $14,309.44	Facility		$1,046.43	$11,933.00	$14,309.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.22 / $1,801.48 / $8,508.15	Professional		$1,067.22	$1,801.48	$8,508.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.35 / $1,585.41 / $2,316.04	Professional		$1,028.35	$1,585.41	$2,316.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $737.49 / $1,626.17 / $1,974.96	Facility		$737.49	$1,626.17	$1,974.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $951.92 / $1,642.17 / $2,133.23	Professional		$951.92	$1,642.17	$2,133.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $929.05 / $1,785.87	Professional		$97.86	$929.05	$1,785.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,114.26 / $1,489.83 / $1,557.20	Facility		$1,114.26	$1,489.83	$1,557.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,046.43 / $1,046.43 / $1,060.24	Facility		$1,046.43	$1,046.43	$1,060.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,116.95 / $1,759.96 / $2,106.44	Professional		$1,116.95	$1,759.96	$2,106.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,067.22 / $1,525.17 / $2,054.36	Professional		$1,067.22	$1,525.17	$2,054.36
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 $972.10 / $1,323.00 / $2,233.19	Professional		$972.10	$1,323.00	$2,233.19