Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,483.62 / $3,128.50 / $20,680.40	Facility		$1,483.62	$3,128.50	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,163.39 / $1,483.62 / $3,128.50	Professional		$1,163.39	$1,483.62	$3,128.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,618.57 / $12,303.36	Facility		$55.00	$1,618.57	$12,303.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,681.21 / $2,821.77 / $10,531.05	Professional		$1,681.21	$2,821.77	$10,531.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.71 / $2,363.71 / $3,516.10	Professional		$1,506.71	$2,363.71	$3,516.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $2,533.87 / $3,077.34	Facility		$1,142.04	$2,533.87	$3,077.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,483.27 / $2,568.34 / $3,275.64	Professional		$1,483.27	$2,568.34	$3,275.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $985.56 / $2,616.10	Professional		$102.84	$985.56	$2,616.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,772.33 / $2,252.51 / $2,429.64	Facility		$1,772.33	$2,252.51	$2,429.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,618.57 / $1,618.57 / $1,633.32	Facility		$1,618.57	$1,618.57	$1,633.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,717.68 / $2,706.52 / $3,241.98	Professional		$1,717.68	$2,706.52	$3,241.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,650.73 / $2,349.55 / $3,164.78	Professional		$1,650.73	$2,349.55	$3,164.78
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 $1,523.49 / $2,125.79 / $3,454.41	Professional		$1,523.49	$2,125.79	$3,454.41