Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.08 / $4,204.01 / $20,680.40	Facility		$1,868.08	$4,204.01	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.75 / $1,868.08 / $3,823.18	Professional		$1,373.75	$1,868.08	$3,823.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,937.93 / $13,583.20	Facility		$55.00	$1,937.93	$13,583.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,078.40 / $3,560.27 / $12,377.25	Professional		$2,078.40	$3,560.27	$12,377.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.83 / $2,981.90 / $4,381.35	Professional		$1,828.83	$2,981.90	$4,381.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,725.69 / $3,075.45 / $3,735.08	Facility		$1,725.69	$3,075.45	$3,735.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.30 / $3,075.45 / $3,735.08	Professional		$1,800.30	$3,075.45	$3,735.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,758.35 / $3,405.48	Professional		$150.54	$1,758.35	$3,405.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,067.80 / $2,785.86 / $2,912.49	Facility		$2,067.80	$2,785.86	$2,912.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,937.93 / $1,937.93 / $1,986.58	Facility		$1,937.93	$1,937.93	$1,986.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,044.83 / $3,313.72 / $4,074.44	Professional		$2,044.83	$3,313.72	$4,074.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,976.44 / $2,857.71 / $3,849.27	Professional		$1,976.44	$2,857.71	$3,849.27
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.20 / $3,034.77 / $4,155.53	Professional		$1,861.20	$3,034.77	$4,155.53