Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.53 / $2,296.23 / $20,680.40	Facility		$1,123.53	$2,296.23	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.84 / $1,123.53 / $2,296.23	Professional		$823.84	$1,123.53	$2,296.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,187.31 / $16,209.76	Facility		$55.00	$1,187.31	$16,209.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.61 / $2,079.23 / $7,705.58	Professional		$1,237.61	$2,079.23	$7,705.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.45 / $1,753.66 / $2,620.52	Professional		$1,171.45	$1,753.66	$2,620.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $838.24 / $1,852.37 / $2,249.67	Facility		$838.24	$1,852.37	$2,249.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.33 / $1,890.70 / $2,424.67	Professional		$1,084.33	$1,890.70	$2,424.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $1,041.52 / $1,961.56	Professional		$97.86	$1,041.52	$1,961.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,284.03 / $1,684.37 / $1,770.72	Facility		$1,284.03	$1,684.37	$1,770.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.31 / $1,187.31 / $1,202.36	Facility		$1,187.31	$1,187.31	$1,202.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,265.68 / $1,994.32 / $2,386.94	Professional		$1,265.68	$1,994.32	$2,386.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,210.90 / $1,729.62 / $2,329.75	Professional		$1,210.90	$1,729.62	$2,329.75
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 $1,130.80 / $1,593.40 / $2,530.57	Professional		$1,130.80	$1,593.40	$2,530.57