Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $6,470.00 / $24,827.00	Facility		$1,560.00	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.21 / $1,093.08 / $2,088.82	Professional		$806.21	$1,093.08	$2,088.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,260.70 / $8,018.44	Facility		$55.00	$1,260.70	$8,018.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,340.33 / $2,327.13 / $8,016.45	Professional		$1,340.33	$2,327.13	$8,016.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.83 / $1,934.64 / $2,790.92	Professional		$1,114.83	$1,934.64	$2,790.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,097.07 / $1,868.43 / $2,283.09	Facility		$1,097.07	$1,868.43	$2,283.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.07 / $1,868.43 / $2,376.98	Professional		$1,097.07	$1,868.43	$2,376.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.68 / $1,037.80 / $2,093.72	Professional		$149.68	$1,037.80	$2,093.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,284.29 / $1,752.72 / $1,861.26	Facility		$1,284.29	$1,752.72	$1,861.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.70 / $1,269.55 / $1,367.95	Facility		$1,260.70	$1,269.55	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,314.98 / $2,133.56 / $2,603.82	Professional		$1,314.98	$2,133.56	$2,603.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,285.75 / $1,826.26 / $2,459.92	Professional		$1,285.75	$1,826.26	$2,459.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.41 / $1,884.40 / $2,707.27	Professional		$1,174.41	$1,884.40	$2,707.27