Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.21 / $2,005.12 / $20,680.40	Facility		$959.21	$2,005.12	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $716.73 / $959.21 / $2,005.12	Professional		$716.73	$959.21	$2,005.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,030.58 / $18,197.97	Facility		$55.00	$1,030.58	$18,197.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,053.16 / $1,780.20 / $6,619.28	Professional		$1,053.16	$1,780.20	$6,619.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.55 / $1,534.77 / $2,230.50	Professional		$1,027.55	$1,534.77	$2,230.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $728.19 / $1,624.72 / $1,854.42	Facility		$728.19	$1,624.72	$1,854.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.66 / $1,631.77 / $1,943.79	Professional		$924.66	$1,631.77	$1,943.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $1,130.05 / $1,823.11	Professional		$182.91	$1,130.05	$1,823.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,111.32 / $1,432.64 / $1,530.95	Facility		$1,111.32	$1,432.64	$1,530.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.58 / $1,030.58 / $1,031.91	Facility		$1,030.58	$1,030.58	$1,031.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.96 / $1,719.63 / $2,058.17	Professional		$1,065.96	$1,719.63	$2,058.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,051.05 / $1,484.41 / $1,999.46	Professional		$1,051.05	$1,484.41	$1,999.46
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 $954.57 / $1,353.60 / $2,182.03	Professional		$954.57	$1,353.60	$2,182.03