Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,776.12 / $3,603.31 / $20,680.40	Facility		$1,776.12	$3,603.31	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.28 / $1,776.12 / $3,643.72	Professional		$1,310.28	$1,776.12	$3,643.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,842.80 / $12,945.04	Facility		$55.00	$1,842.80	$12,945.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,979.89 / $3,391.52 / $12,225.55	Professional		$1,979.89	$3,391.52	$12,225.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.11 / $2,840.17 / $4,174.55	Professional		$1,738.11	$2,840.17	$4,174.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,642.05 / $2,922.47 / $3,549.29	Facility		$1,642.05	$2,922.47	$3,549.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,710.75 / $2,922.47 / $3,549.29	Professional		$1,710.75	$2,922.47	$3,549.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $1,704.45 / $3,283.07	Professional		$150.69	$1,704.45	$3,283.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,957.86 / $2,686.03 / $2,775.81	Facility		$1,957.86	$2,686.03	$2,775.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,842.80 / $1,842.80 / $1,893.35	Facility		$1,842.80	$1,842.80	$1,893.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,948.87 / $3,158.21 / $3,883.23	Professional		$1,948.87	$3,158.21	$3,883.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,879.42 / $2,723.61 / $3,668.63	Professional		$1,879.42	$2,723.61	$3,668.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,773.64 / $2,890.92 / $3,958.57	Professional		$1,773.64	$2,890.92	$3,958.57