Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,773.72 / $3,860.10 / $20,680.40	Facility		$1,773.72	$3,860.10	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,455.25 / $1,773.72 / $3,860.10	Professional		$1,455.25	$1,773.72	$3,860.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,935.22 / $17,970.25	Facility		$55.00	$1,935.22	$17,970.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.55 / $3,373.90 / $12,590.40	Professional		$2,009.55	$3,373.90	$12,590.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,803.39 / $2,825.50 / $4,201.04	Professional		$1,803.39	$2,825.50	$4,201.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,408.64 / $3,032.67 / $3,756.89	Facility		$1,408.64	$3,032.67	$3,756.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,775.26 / $3,068.52 / $3,919.47	Professional		$1,775.26	$3,068.52	$3,919.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $429.15 / $3,004.01	Professional		$108.09	$429.15	$3,004.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,131.10 / $2,689.54 / $2,944.65	Facility		$2,131.10	$2,689.54	$2,944.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,935.22 / $1,935.22 / $1,952.30	Facility		$1,935.22	$1,935.22	$1,952.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,053.77 / $3,236.11 / $3,875.13	Professional		$2,053.77	$3,236.11	$3,875.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,973.66 / $2,808.41 / $3,782.86	Professional		$1,973.66	$2,808.41	$3,782.86
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 $1,862.87 / $2,630.66 / $4,106.27	Professional		$1,862.87	$2,630.66	$4,106.27