Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,519.13 / $5,428.07 / $20,680.40	Facility		$2,519.13	$5,428.07	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,631.65 / $2,519.13 / $5,495.78	Professional		$1,631.65	$2,519.13	$5,495.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,685.84 / $59,359.30	Facility		$55.00	$2,685.84	$59,359.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,739.20 / $4,567.05 / $18,655.11	Professional		$2,739.20	$4,567.05	$18,655.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,505.77 / $3,949.08 / $5,889.90	Professional		$2,505.77	$3,949.08	$5,889.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,949.90 / $4,213.70 / $5,117.46	Facility		$1,949.90	$4,213.70	$5,117.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,466.61 / $4,300.88 / $5,483.32	Professional		$2,466.61	$4,300.88	$5,483.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.22 / $2,256.45 / $4,427.17	Professional		$230.22	$2,256.45	$4,427.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,019.40 / $3,768.83 / $4,175.43	Facility		$3,019.40	$3,768.83	$4,175.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,685.84 / $2,685.84 / $2,720.98	Facility		$2,685.84	$2,685.84	$2,720.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,864.56 / $4,513.66 / $5,402.27	Professional		$2,864.56	$4,513.66	$5,402.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,739.20 / $3,914.16 / $5,272.27	Professional		$2,739.20	$3,914.16	$5,272.27
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 $2,578.40 / $3,926.20 / $5,801.39	Professional		$2,578.40	$3,926.20	$5,801.39