Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,341.64 / $5,056.55 / $20,680.40	Facility		$2,341.64	$5,056.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,725.70 / $2,341.64 / $5,123.00	Professional		$1,725.70	$2,341.64	$5,123.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,500.11 / $55,148.86	Facility		$55.00	$2,500.11	$55,148.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,549.78 / $4,296.37 / $19,602.00	Professional		$2,549.78	$4,296.37	$19,602.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,332.58 / $3,674.04 / $5,469.97	Professional		$2,332.58	$3,674.04	$5,469.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,762.97 / $3,922.25 / $4,763.50	Facility		$1,762.97	$3,922.25	$4,763.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,296.00 / $3,982.30 / $5,077.80	Professional		$2,296.00	$3,982.30	$5,077.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.70 / $494.16 / $3,915.38	Professional		$133.70	$494.16	$3,915.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,815.91 / $3,499.30 / $3,894.04	Facility		$2,815.91	$3,499.30	$3,894.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.11 / $2,500.11 / $2,528.58	Facility		$2,500.11	$2,500.11	$2,528.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,663.68 / $4,197.12 / $5,023.42	Professional		$2,663.68	$4,197.12	$5,023.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,549.78 / $3,637.40 / $4,899.47	Professional		$2,549.78	$3,637.40	$4,899.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $2,446.00 / $5,793.00	Facility		$1,323.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,402.40 / $3,529.70 / $5,325.71	Professional		$2,402.40	$3,529.70	$5,325.71