Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,295.00 / $4,635.47 / $20,680.40	Facility		$2,295.00	$4,635.47	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,771.76 / $2,295.00 / $4,703.10	Professional		$1,771.76	$2,295.00	$4,703.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,438.05 / $54,044.64	Facility		$55.00	$2,438.05	$54,044.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,547.69 / $4,274.30 / $22,475.32	Professional		$2,547.69	$4,274.30	$22,475.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.29 / $3,590.42 / $5,368.32	Professional		$2,268.29	$3,590.42	$5,368.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,719.57 / $3,813.50 / $4,631.43	Facility		$1,719.57	$3,813.50	$4,631.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,232.34 / $3,892.40 / $4,951.31	Professional		$2,232.34	$3,892.40	$4,951.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $488.27 / $3,882.88	Professional		$133.18	$488.27	$3,882.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,603.21 / $3,436.51 / $3,659.76	Facility		$2,603.21	$3,436.51	$3,659.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,438.05 / $2,438.05 / $2,475.11	Facility		$2,438.05	$2,438.05	$2,475.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,601.87 / $4,099.72 / $4,912.85	Professional		$2,601.87	$4,099.72	$4,912.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,486.48 / $3,560.48 / $4,795.87	Professional		$2,486.48	$3,560.48	$4,795.87
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 $2,325.50 / $3,288.48 / $5,202.10	Professional		$2,325.50	$3,288.48	$5,202.10