Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.92 / $3,556.84 / $20,680.40	Facility		$1,624.92	$3,556.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.47 / $1,624.92 / $3,234.64	Professional		$1,183.47	$1,624.92	$3,234.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,643.03 / $10,098.20	Facility		$55.00	$1,643.03	$10,098.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,785.33 / $3,021.76 / $12,343.06	Professional		$1,785.33	$3,021.76	$12,343.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.05 / $2,531.73 / $3,723.17	Professional		$1,545.05	$2,531.73	$3,723.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,520.62 / $2,597.67 / $3,154.83	Facility		$1,520.62	$2,597.67	$3,154.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,520.62 / $2,597.67 / $3,154.83	Professional		$1,520.62	$2,597.67	$3,154.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.54 / $1,432.35 / $2,831.11	Professional		$150.54	$1,432.35	$2,831.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,831.62 / $2,401.94 / $2,474.31	Facility		$1,831.62	$2,401.94	$2,474.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.03 / $1,643.03 / $1,687.70	Facility		$1,643.03	$1,643.03	$1,687.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.03 / $2,815.17 / $3,461.45	Professional		$1,764.03	$2,815.17	$3,461.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,675.67 / $2,427.78 / $3,270.15	Professional		$1,675.67	$2,427.78	$3,270.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,577.84 / $2,638.56 / $3,526.98	Professional		$1,577.84	$2,638.56	$3,526.98