Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,138.42 / $4,406.68 / $20,680.40	Facility		$2,138.42	$4,406.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,578.36 / $2,138.42 / $4,406.68	Professional		$1,578.36	$2,138.42	$4,406.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,279.50 / $30,992.64	Facility		$55.00	$2,279.50	$30,992.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,345.84 / $3,984.91 / $21,470.89	Professional		$2,345.84	$3,984.91	$21,470.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,126.66 / $3,351.93 / $4,997.51	Professional		$2,126.66	$3,351.93	$4,997.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,608.90 / $3,575.70 / $4,342.62	Facility		$1,608.90	$3,575.70	$4,342.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.14 / $3,649.68 / $4,595.50	Professional		$2,093.14	$3,649.68	$4,595.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $464.28 / $3,585.47	Professional		$133.18	$464.28	$3,585.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,578.51 / $3,199.37 / $3,410.20	Facility		$2,578.51	$3,199.37	$3,410.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,279.50 / $2,279.50 / $2,308.31	Facility		$2,279.50	$2,279.50	$2,308.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,413.92 / $3,830.37 / $4,584.46	Professional		$2,413.92	$3,830.37	$4,584.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,324.78 / $3,320.53 / $4,472.66	Professional		$2,324.78	$3,320.53	$4,472.66
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 $2,188.57 / $2,984.41 / $4,860.33	Professional		$2,188.57	$2,984.41	$4,860.33