Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.27 / $2,489.83 / $20,680.40	Facility		$1,217.27	$2,489.83	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $884.35 / $1,217.27 / $2,489.83	Professional		$884.35	$1,217.27	$2,489.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,287.88 / $17,613.12	Facility		$55.00	$1,287.88	$17,613.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.17 / $2,260.91 / $11,743.32	Professional		$1,348.17	$2,260.91	$11,743.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.55 / $1,899.18 / $2,845.68	Professional		$1,275.55	$1,899.18	$2,845.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $911.40 / $2,016.95 / $2,449.55	Facility		$911.40	$2,016.95	$2,449.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.68 / $2,058.67 / $2,625.35	Professional		$1,180.68	$2,058.67	$2,625.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.85 / $283.10 / $2,072.44	Professional		$78.85	$283.10	$2,072.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,434.00 / $1,823.59 / $1,931.31	Facility		$1,434.00	$1,823.59	$1,931.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,287.88 / $1,287.88 / $1,309.76	Facility		$1,287.88	$1,287.88	$1,309.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,376.27 / $2,168.57 / $2,599.75	Professional		$1,376.27	$2,168.57	$2,599.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,313.47 / $1,884.11 / $2,537.84	Professional		$1,313.47	$1,884.11	$2,537.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $43,830.00	Facility		$3,960.00	$16,613.00	$43,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.01 / $1,647.22 / $2,751.69	Professional		$1,214.01	$1,647.22	$2,751.69