Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.92 / $4,746.50 / $20,680.40	Facility		$2,310.92	$4,746.50	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,602.12 / $2,310.92 / $4,746.50	Professional		$1,602.12	$2,310.92	$4,746.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,405.88 / $18,916.83	Facility		$55.00	$2,405.88	$18,916.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,488.91 / $4,207.10 / $24,885.00	Professional		$2,488.91	$4,207.10	$24,885.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,268.58 / $3,697.16 / $5,419.48	Professional		$2,268.58	$3,697.16	$5,419.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,139.79 / $3,814.95 / $4,633.18	Facility		$2,139.79	$3,814.95	$4,633.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,233.19 / $3,814.95 / $4,633.18	Professional		$2,233.19	$3,814.95	$4,633.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.40 / $2,149.93 / $4,171.97	Professional		$200.40	$2,149.93	$4,171.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,595.92 / $3,461.22 / $3,605.94	Facility		$2,595.92	$3,461.22	$3,605.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,405.88 / $2,405.88 / $2,459.57	Facility		$2,405.88	$2,405.88	$2,459.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,531.69 / $4,102.70 / $5,044.55	Professional		$2,531.69	$4,102.70	$5,044.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,453.67 / $3,538.12 / $4,765.76	Professional		$2,453.67	$3,538.12	$4,765.76
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 $2,317.05 / $3,629.33 / $5,156.75	Professional		$2,317.05	$3,629.33	$5,156.75