Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.08 / $3,513.18 / $20,680.40	Facility		$1,563.08	$3,513.18	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.04 / $1,563.08 / $3,194.93	Professional		$1,068.04	$1,563.08	$3,194.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,619.93 / $9,964.64	Facility		$55.00	$1,619.93	$9,964.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,739.41 / $2,989.66 / $10,377.90	Professional		$1,739.41	$2,989.66	$10,377.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,522.88 / $2,497.11 / $3,675.01	Professional		$1,522.88	$2,497.11	$3,675.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,439.92 / $2,560.69 / $3,109.92	Facility		$1,439.92	$2,560.69	$3,109.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.98 / $2,560.69 / $3,109.92	Professional		$1,498.98	$2,560.69	$3,109.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $1,466.48 / $2,843.93	Professional		$150.24	$1,466.48	$2,843.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,745.11 / $2,367.78 / $2,441.48	Facility		$1,745.11	$2,367.78	$2,441.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,619.93 / $1,619.93 / $1,665.31	Facility		$1,619.93	$1,619.93	$1,665.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,714.14 / $2,777.82 / $3,415.52	Professional		$1,714.14	$2,777.82	$3,415.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,652.11 / $2,395.57 / $3,226.76	Professional		$1,652.11	$2,395.57	$3,226.76
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 $1,546.00 / $2,473.81 / $3,498.67	Professional		$1,546.00	$2,473.81	$3,498.67