Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.18 / $3,734.96 / $20,680.40	Facility		$1,815.18	$3,734.96	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.65 / $1,815.18 / $3,734.96	Professional		$1,196.65	$1,815.18	$3,734.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,931.14 / $26,231.20	Facility		$55.00	$1,931.14	$26,231.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.51 / $3,299.56 / $13,636.00	Professional		$1,969.51	$3,299.56	$13,636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,802.19 / $2,845.12 / $4,233.10	Professional		$1,802.19	$2,845.12	$4,233.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,366.48 / $2,915.55 / $3,680.49	Facility		$1,366.48	$2,915.55	$3,680.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,773.99 / $2,938.54 / $3,889.34	Professional		$1,773.99	$2,938.54	$3,889.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $392.03 / $3,058.07	Professional		$107.11	$392.03	$3,058.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,081.90 / $2,719.36 / $2,881.84	Facility		$2,081.90	$2,719.36	$2,881.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,931.14 / $1,931.14 / $1,948.19	Facility		$1,931.14	$1,931.14	$1,948.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,024.29 / $3,236.11 / $3,873.21	Professional		$2,024.29	$3,236.11	$3,873.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,969.51 / $2,802.50 / $3,774.89	Professional		$1,969.51	$2,802.50	$3,774.89
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 $1,762.74 / $2,759.89 / $4,155.02	Professional		$1,762.74	$2,759.89	$4,155.02