Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.44 / $5,128.00 / $24,827.00	Facility		$1,472.44	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.44 / $1,035.67 / $2,033.66	Professional		$675.44	$1,035.67	$2,033.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,075.42 / $6,590.08	Facility		$55.00	$1,075.42	$6,590.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.23 / $1,978.72 / $6,871.95	Professional		$1,151.23	$1,978.72	$6,871.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.62 / $1,656.86 / $2,435.84	Professional		$951.62	$1,656.86	$2,435.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $936.65 / $1,600.07 / $1,958.67	Facility		$936.65	$1,600.07	$1,958.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.65 / $1,600.07 / $2,035.70	Professional		$936.65	$1,600.07	$2,035.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $939.83 / $1,898.15	Professional		$100.45	$939.83	$1,898.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,157.45 / $1,504.82 / $1,614.03	Facility		$1,157.45	$1,504.82	$1,614.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,075.42 / $1,075.42 / $1,100.91	Facility		$1,075.42	$1,075.42	$1,100.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,133.19 / $1,836.38 / $2,257.96	Professional		$1,133.19	$1,836.38	$2,257.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.79 / $1,583.68 / $2,133.17	Professional		$1,096.79	$1,583.68	$2,133.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,003.64 / $1,680.96 / $2,301.75	Professional		$1,003.64	$1,680.96	$2,301.75