Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.44 / $2,161.92 / $20,680.40	Facility		$1,024.44	$2,161.92	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.11 / $1,024.44 / $2,368.81	Professional		$809.11	$1,024.44	$2,368.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,109.84 / $10,375.86	Facility		$55.00	$1,109.84	$10,375.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,131.90 / $1,911.74 / $10,151.00	Professional		$1,131.90	$1,911.74	$10,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.31 / $1,625.71 / $2,431.08	Professional		$1,095.31	$1,625.71	$2,431.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $785.54 / $1,732.02 / $2,113.03	Facility		$785.54	$1,732.02	$2,113.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,013.89 / $1,767.86 / $2,248.92	Professional		$1,013.89	$1,767.86	$2,248.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $1,068.15 / $1,889.31	Professional		$67.39	$1,068.15	$1,889.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,190.32 / $1,557.78 / $1,666.00	Facility		$1,190.32	$1,557.78	$1,666.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.84 / $1,109.84 / $1,125.13	Facility		$1,109.84	$1,109.84	$1,125.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.72 / $1,858.88 / $2,233.28	Professional		$1,179.72	$1,858.88	$2,233.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,131.90 / $1,618.52 / $2,180.10	Professional		$1,131.90	$1,618.52	$2,180.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,446.00 / $5,793.00	Facility		$1,120.00	$2,446.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.36 / $1,499.79 / $2,358.71	Professional		$1,064.36	$1,499.79	$2,358.71