Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,424.73 / $4,895.03 / $20,680.40	Facility		$2,424.73	$4,895.03	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,798.96 / $2,424.73 / $4,970.43	Professional		$1,798.96	$2,424.73	$4,970.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,563.98 / $45,621.24	Facility		$55.00	$2,563.98	$45,621.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,614.92 / $4,343.78 / $17,592.52	Professional		$2,614.92	$4,343.78	$17,592.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,399.40 / $3,774.22 / $5,605.60	Professional		$2,399.40	$3,774.22	$5,605.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,816.91 / $4,034.62 / $4,899.97	Facility		$1,816.91	$4,034.62	$4,899.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,361.78 / $4,118.10 / $5,255.25	Professional		$2,361.78	$4,118.10	$5,255.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $504.05 / $4,022.39	Professional		$132.79	$504.05	$4,022.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,973.81 / $3,601.21 / $3,848.80	Facility		$2,973.81	$3,601.21	$3,848.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,563.98 / $2,563.98 / $2,582.51	Facility		$2,563.98	$2,563.98	$2,582.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,724.52 / $4,293.00 / $5,138.17	Professional		$2,724.52	$4,293.00	$5,138.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,614.92 / $3,714.97 / $5,003.96	Professional		$2,614.92	$3,714.97	$5,003.96
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 $2,411.44 / $3,364.79 / $5,447.37	Professional		$2,411.44	$3,364.79	$5,447.37