Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.65 / $3,657.29 / $20,680.40	Facility		$1,782.65	$3,657.29	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,305.14 / $1,782.65 / $3,657.29	Professional		$1,305.14	$1,782.65	$3,657.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,896.26 / $25,760.32	Facility		$55.00	$1,896.26	$25,760.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.93 / $3,250.43 / $14,063.00	Professional		$1,933.93	$3,250.43	$14,063.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.25 / $2,793.97 / $4,157.29	Professional		$1,770.25	$2,793.97	$4,157.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,400.89 / $2,948.55 / $3,614.45	Facility		$1,400.89	$2,948.55	$3,614.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.16 / $2,948.55 / $3,882.71	Professional		$1,742.16	$2,948.55	$3,882.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $384.51 / $2,996.62	Professional		$106.93	$384.51	$2,996.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,114.46 / $2,670.78 / $2,829.48	Facility		$2,114.46	$2,670.78	$2,829.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.26 / $1,896.26 / $1,913.00	Facility		$1,896.26	$1,896.26	$1,913.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,016.59 / $3,177.52 / $3,803.08	Professional		$2,016.59	$3,177.52	$3,803.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,933.93 / $2,751.87 / $3,706.70	Professional		$1,933.93	$2,751.87	$3,706.70
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 $1,772.03 / $2,732.36 / $4,031.93	Professional		$1,772.03	$2,732.36	$4,031.93