Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.56 / $3,556.02 / $20,680.40	Facility		$1,789.56	$3,556.02	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.14 / $1,789.56 / $3,556.02	Professional		$1,159.14	$1,789.56	$3,556.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,895.35 / $11,313.89	Facility		$55.00	$1,895.35	$11,313.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.01 / $3,319.17 / $12,395.40	Professional		$1,933.01	$3,319.17	$12,395.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,723.30 / $2,796.85 / $4,186.07	Professional		$1,723.30	$2,796.85	$4,186.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,312.54 / $2,787.21 / $3,518.47	Facility		$1,312.54	$2,787.21	$3,518.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,695.90 / $2,789.48 / $3,591.77	Professional		$1,695.90	$2,789.48	$3,591.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.11 / $388.58 / $2,999.71	Professional		$107.11	$388.58	$2,999.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.63 / $2,681.97 / $2,819.36	Facility		$1,949.63	$2,681.97	$2,819.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,895.35 / $1,895.35 / $1,923.06	Facility		$1,895.35	$1,895.35	$1,923.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,979.44 / $3,183.61 / $3,817.08	Professional		$1,979.44	$3,183.61	$3,817.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,933.01 / $2,766.34 / $3,726.18	Professional		$1,933.01	$2,766.34	$3,726.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $1,433.30 / $4,818.00	Facility		$1,303.00	$1,433.30	$4,818.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,709.82 / $2,547.16 / $4,030.29	Professional		$1,709.82	$2,547.16	$4,030.29