Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.61 / $3,967.62 / $20,680.40	Facility		$1,939.61	$3,967.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,402.63 / $1,939.61 / $3,967.62	Professional		$1,402.63	$1,939.61	$3,967.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,058.42 / $45,642.48	Facility		$55.00	$2,058.42	$45,642.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,099.33 / $3,539.50 / $17,046.00	Professional		$2,099.33	$3,539.50	$17,046.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,034.65 / $3,032.50 / $4,534.83	Professional		$2,034.65	$3,032.50	$4,534.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,451.11 / $3,217.55 / $3,907.65	Facility		$1,451.11	$3,217.55	$3,907.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,883.48 / $3,252.36 / $4,183.27	Professional		$1,883.48	$3,252.36	$4,183.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $415.11 / $3,266.67	Professional		$107.11	$415.11	$3,266.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,217.73 / $2,904.94 / $3,077.00	Facility		$2,217.73	$2,904.94	$3,077.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,058.42 / $2,058.42 / $2,089.86	Facility		$2,058.42	$2,058.42	$2,089.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,197.67 / $3,462.86 / $4,148.17	Professional		$2,197.67	$3,462.86	$4,148.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,099.33 / $3,006.29 / $4,049.39	Professional		$2,099.33	$3,006.29	$4,049.39
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 $1,968.57 / $2,997.58 / $4,429.26	Professional		$1,968.57	$2,997.58	$4,429.26