Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,087.08 / $4,500.00 / $20,680.40	Facility		$2,087.08	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,411.03 / $2,087.08 / $4,312.78	Professional		$1,411.03	$2,087.08	$4,312.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,168.06 / $13,303.15	Facility		$55.00	$2,168.06	$13,303.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,325.65 / $3,983.80 / $15,376.51	Professional		$2,325.65	$3,983.80	$15,376.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.07 / $3,335.33 / $4,901.42	Professional		$2,044.07	$3,335.33	$4,901.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,934.79 / $3,437.22 / $4,174.45	Facility		$1,934.79	$3,437.22	$4,174.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,012.08 / $3,437.22 / $4,174.45	Professional		$2,012.08	$3,437.22	$4,174.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.94 / $460.26 / $3,650.07	Professional		$107.94	$460.26	$3,650.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,406.88 / $3,175.80 / $3,260.22	Facility		$2,406.88	$3,175.80	$3,260.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,168.06 / $2,168.06 / $2,223.76	Facility		$2,168.06	$2,168.06	$2,223.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,288.96 / $3,709.35 / $4,560.89	Professional		$2,288.96	$3,709.35	$4,560.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,211.13 / $3,198.91 / $4,308.84	Professional		$2,211.13	$3,198.91	$4,308.84
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 $2,038.21 / $3,395.77 / $4,649.85	Professional		$2,038.21	$3,395.77	$4,649.85