Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.31 / $4,035.89 / $20,680.40	Facility		$1,974.31	$4,035.89	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.36 / $1,974.31 / $4,035.89	Professional		$1,430.36	$1,974.31	$4,035.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,093.31 / $37,534.98	Facility		$55.00	$2,093.31	$37,534.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,189.71 / $3,674.57 / $21,927.30	Professional		$2,189.71	$3,674.57	$21,927.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,069.40 / $3,084.96 / $4,618.22	Professional		$2,069.40	$3,084.96	$4,618.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,476.53 / $3,271.92 / $3,973.69	Facility		$1,476.53	$3,271.92	$3,973.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,915.31 / $3,333.11 / $4,251.52	Professional		$1,915.31	$3,333.11	$4,251.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $429.30 / $3,347.94	Professional		$107.11	$429.30	$3,347.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,277.15 / $2,958.68 / $3,142.28	Facility		$2,277.15	$2,958.68	$3,142.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,093.31 / $2,093.31 / $2,127.34	Facility		$2,093.31	$2,093.31	$2,127.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,233.44 / $3,524.49 / $4,222.55	Professional		$2,233.44	$3,524.49	$4,222.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,134.90 / $3,060.20 / $4,122.00	Professional		$2,134.90	$3,060.20	$4,122.00
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 $1,967.90 / $2,658.17 / $4,472.21	Professional		$1,967.90	$2,658.17	$4,472.21