Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.84 / $4,583.10 / $6,164.54	Facility		$2,747.84	$4,583.10	$6,164.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,747.84 / $6,360.48	Professional		$2,100.00	$2,747.84	$6,360.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,367.60 / $17,562.30	Facility		$55.00	$3,367.60	$17,562.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,497.42 / $6,227.99 / $22,757.48	Professional		$3,497.42	$6,227.99	$22,757.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,595.19 / $5,059.39 / $7,596.77	Professional		$2,595.19	$5,059.39	$7,596.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,579.48 / $4,174.03 / $5,930.47	Facility		$2,579.48	$4,174.03	$5,930.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,650.80 / $4,177.64 / $5,954.98	Professional		$2,650.80	$4,177.64	$5,954.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $643.86 / $4,067.25 / $6,703.75	Professional		$643.86	$4,067.25	$6,703.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,422.58 / $4,643.80 / $5,127.51	Facility		$3,422.58	$4,643.80	$5,127.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,367.60 / $3,367.60 / $3,497.42	Facility		$3,367.60	$3,367.60	$3,497.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,599.97 / $5,765.09 / $7,173.16	Professional		$3,599.97	$5,765.09	$7,173.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,434.51 / $4,984.95 / $6,776.73	Professional		$3,434.51	$4,984.95	$6,776.73
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 $2,719.08 / $4,531.81 / $7,269.26	Professional		$2,719.08	$4,531.81	$7,269.26