Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.00 / $3,333.50 / $20,680.40	Facility		$1,672.00	$3,333.50	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.54 / $1,672.00 / $3,333.50	Professional		$1,098.54	$1,672.00	$3,333.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,773.95 / $16,600.21	Facility		$55.00	$1,773.95	$16,600.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,809.19 / $3,105.77 / $11,585.18	Professional		$1,809.19	$3,105.77	$11,585.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,626.99 / $2,613.75 / $3,904.33	Professional		$1,626.99	$2,613.75	$3,904.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,236.90 / $2,621.57 / $3,144.12	Facility		$1,236.90	$2,621.57	$3,144.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,525.46 / $2,631.66 / $3,322.12	Professional		$1,525.46	$2,631.66	$3,322.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $375.26 / $2,861.90	Professional		$106.93	$375.26	$2,861.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,829.47 / $2,494.90 / $2,634.44	Facility		$1,829.47	$2,494.90	$2,634.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,773.95 / $1,773.95 / $1,796.92	Facility		$1,773.95	$1,773.95	$1,796.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,849.61 / $2,978.92 / $3,566.72	Professional		$1,849.61	$2,978.92	$3,566.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,809.19 / $2,584.89 / $3,481.79	Professional		$1,809.19	$2,584.89	$3,481.79
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 $1,609.85 / $2,299.79 / $3,794.65	Professional		$1,609.85	$2,299.79	$3,794.65