Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.63 / $4,683.88 / $20,680.40	Facility		$2,090.63	$4,683.88	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,587.14 / $2,090.63 / $4,683.88	Professional		$1,587.14	$2,090.63	$4,683.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,459.79 / $18,974.16	Facility		$55.00	$2,459.79	$18,974.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,598.02 / $4,559.18 / $16,447.65	Professional		$2,598.02	$4,559.18	$16,447.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,045.38 / $3,728.10 / $5,461.13	Professional		$2,045.38	$3,728.10	$5,461.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,013.35 / $3,439.40 / $4,378.96	Facility		$2,013.35	$3,439.40	$4,378.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,013.35 / $3,439.40 / $4,506.81	Professional		$2,013.35	$3,439.40	$4,506.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.95 / $1,979.59 / $4,078.74	Professional		$318.95	$1,979.59	$4,078.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,565.42 / $3,456.80 / $3,700.41	Facility		$2,565.42	$3,456.80	$3,700.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,459.79 / $2,459.79 / $2,524.01	Facility		$2,459.79	$2,459.79	$2,524.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,598.02 / $4,210.18 / $5,176.71	Professional		$2,598.02	$4,210.18	$5,176.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,508.66 / $3,630.82 / $4,890.62	Professional		$2,508.66	$3,630.82	$4,890.62
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 $2,275.98 / $3,594.07 / $5,303.48	Professional		$2,275.98	$3,594.07	$5,303.48