Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,552.81 / $5,174.80 / $20,680.40	Facility		$2,552.81	$5,174.80	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,625.18 / $2,552.81 / $5,262.62	Professional		$1,625.18	$2,552.81	$5,262.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,723.44 / $60,150.74	Facility		$55.00	$2,723.44	$60,150.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,777.54 / $4,669.54 / $22,159.00	Professional		$2,777.54	$4,669.54	$22,159.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,540.16 / $4,004.01 / $5,968.12	Professional		$2,540.16	$4,004.01	$5,968.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,957.65 / $4,054.59 / $5,187.02	Facility		$1,957.65	$4,054.59	$5,187.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,500.14 / $4,108.97 / $5,557.74	Professional		$2,500.14	$4,108.97	$5,557.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $2,370.24 / $4,553.04	Professional		$232.90	$2,370.24	$4,553.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,900.22 / $3,821.19 / $4,088.16	Facility		$2,900.22	$3,821.19	$4,088.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,723.44 / $2,723.44 / $2,757.08	Facility		$2,723.44	$2,723.44	$2,757.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,904.16 / $4,576.05 / $5,476.95	Professional		$2,904.16	$4,576.05	$5,476.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,777.54 / $3,966.10 / $5,342.22	Professional		$2,777.54	$3,966.10	$5,342.22
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 $2,494.80 / $3,569.94 / $5,806.53	Professional		$2,494.80	$3,569.94	$5,806.53