Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.09 / $4,191.68 / $20,680.40	Facility		$2,010.09	$4,191.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.29 / $2,010.09 / $3,811.97	Professional		$1,179.29	$2,010.09	$3,811.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,131.37 / $23,594.74	Facility		$55.00	$2,131.37	$23,594.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,173.71 / $3,905.15 / $13,925.03	Professional		$2,173.71	$3,905.15	$13,925.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,945.85 / $3,210.95 / $4,698.13	Professional		$1,945.85	$3,210.95	$4,698.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,712.98 / $3,147.12 / $3,946.21	Facility		$1,712.98	$3,147.12	$3,946.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,903.07 / $3,147.12 / $3,972.81	Professional		$1,903.07	$3,147.12	$3,972.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $1,889.55 / $3,659.66	Professional		$187.67	$1,889.55	$3,659.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,072.69 / $2,853.97 / $3,167.09	Facility		$2,072.69	$2,853.97	$3,167.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,131.37 / $2,131.37 / $2,160.23	Facility		$2,131.37	$2,131.37	$2,160.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,223.58 / $3,603.39 / $4,430.62	Professional		$2,223.58	$3,603.39	$4,430.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,173.71 / $3,107.53 / $4,185.76	Professional		$2,173.71	$3,107.53	$4,185.76
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 $1,929.07 / $3,078.48 / $4,542.67	Professional		$1,929.07	$3,078.48	$4,542.67