Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.27 / $2,648.61 / $20,680.40	Facility		$1,184.27	$2,648.61	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.45 / $1,184.27 / $2,408.67	Professional		$807.45	$1,184.27	$2,408.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,225.82 / $8,628.56	Facility		$55.00	$1,225.82	$8,628.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,298.77 / $2,255.77 / $7,865.93	Professional		$1,298.77	$2,255.77	$7,865.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,152.69 / $1,891.07 / $2,785.40	Professional		$1,152.69	$1,891.07	$2,785.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,091.01 / $1,937.92 / $2,353.57	Facility		$1,091.01	$1,937.92	$2,353.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,134.42 / $1,937.92 / $2,353.57	Professional		$1,134.42	$1,937.92	$2,353.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $286.02 / $2,096.92	Professional		$74.23	$286.02	$2,096.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,319.29 / $1,764.78 / $1,849.87	Facility		$1,319.29	$1,764.78	$1,849.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,225.82 / $1,225.82 / $1,261.78	Facility		$1,225.82	$1,225.82	$1,261.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,298.77 / $2,104.71 / $2,587.89	Professional		$1,298.77	$2,104.71	$2,587.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,250.17 / $1,813.73 / $2,444.87	Professional		$1,250.17	$1,813.73	$2,444.87
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 $1,175.68 / $1,841.53 / $2,632.91	Professional		$1,175.68	$1,841.53	$2,632.91