Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,208.69 / $10,122.46 / $27,982.24	Facility		$2,208.69	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.23 / $2,208.69 / $2,838.91	Professional		$1,207.23	$2,208.69	$2,838.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,263.64 / $7,236.03	Facility		$55.00	$2,263.64	$7,236.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,326.73 / $3,960.95 / $14,848.43	Professional		$2,326.73	$3,960.95	$14,848.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,991.26 / $4,113.43 / $5,461.54	Professional		$2,991.26	$4,113.43	$5,461.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,563.02 / $3,178.81 / $4,128.93	Facility		$1,563.02	$3,178.81	$4,128.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,759.14 / $3,278.25 / $4,172.25	Professional		$1,759.14	$3,278.25	$4,172.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.71 / $3,320.39 / $3,408.96	Facility		$2,238.71	$3,320.39	$3,408.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,263.64 / $2,263.64 / $2,465.96	Facility		$2,263.64	$2,263.64	$2,465.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,465.96 / $3,858.14 / $4,894.71	Professional		$2,465.96	$3,858.14	$4,894.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,308.61 / $2,994.58 / $4,035.61	Professional		$2,308.61	$2,994.58	$4,035.61
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 $1,688.27 / $2,619.67 / $5,109.09	Professional		$1,688.27	$2,619.67	$5,109.09