Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,688.83 / $5,128.00 / $24,827.00	Facility		$1,688.83	$5,128.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $802.70 / $1,075.81 / $2,288.96	Professional		$802.70	$1,075.81	$2,288.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,238.96 / $7,516.39	Facility		$55.00	$1,238.96	$7,516.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.94 / $2,276.44 / $7,978.13	Professional		$1,328.94	$2,276.44	$7,978.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.99 / $1,900.35 / $2,778.06	Professional		$1,096.99	$1,900.35	$2,778.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,079.67 / $1,844.40 / $2,241.40	Facility		$1,079.67	$1,844.40	$2,241.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.67 / $1,844.40 / $2,334.96	Professional		$1,079.67	$1,844.40	$2,334.96
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 $1,241.08 / $1,713.86 / $1,852.55	Facility		$1,241.08	$1,713.86	$1,852.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,238.96 / $1,238.96 / $1,263.60	Facility		$1,238.96	$1,238.96	$1,263.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.66 / $2,107.76 / $2,591.63	Professional		$1,300.66	$2,107.76	$2,591.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,263.57 / $1,817.71 / $2,448.41	Professional		$1,263.57	$1,817.71	$2,448.41
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 $1,168.64 / $1,987.78 / $2,791.92	Professional		$1,168.64	$1,987.78	$2,791.92