Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,769.24 / $3,611.90 / $20,680.40	Facility		$1,769.24	$3,611.90	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.21 / $1,769.24 / $3,611.90	Professional		$1,274.21	$1,769.24	$3,611.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,874.51 / $41,630.42	Facility		$55.00	$1,874.51	$41,630.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,911.76 / $3,237.23 / $16,108.00	Professional		$1,911.76	$3,237.23	$16,108.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,850.09 / $2,763.75 / $4,138.89	Professional		$1,850.09	$2,763.75	$4,138.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,321.22 / $2,925.37 / $3,552.81	Facility		$1,321.22	$2,925.37	$3,552.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,712.45 / $2,951.75 / $3,805.62	Professional		$1,712.45	$2,951.75	$3,805.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $390.91 / $3,022.24	Professional		$107.11	$390.91	$3,022.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,016.35 / $2,651.00 / $2,798.88	Facility		$2,016.35	$2,651.00	$2,798.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,874.51 / $1,874.51 / $1,905.23	Facility		$1,874.51	$1,874.51	$1,905.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,998.44 / $3,153.93 / $3,781.70	Professional		$1,998.44	$3,153.93	$3,781.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,911.76 / $2,740.70 / $3,691.65	Professional		$1,911.76	$2,740.70	$3,691.65
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 $1,748.81 / $2,712.07 / $4,026.32	Professional		$1,748.81	$2,712.07	$4,026.32