Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.61 / $2,018.35 / $2,629.35	Facility		$1,011.61	$2,018.35	$2,629.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.17 / $1,011.61 / $2,355.48	Professional		$811.17	$1,011.61	$2,355.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,256.61 / $8,586.16	Facility		$55.00	$1,256.61	$8,586.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,355.50 / $2,329.81 / $8,411.10	Professional		$1,355.50	$2,329.81	$8,411.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,136.66 / $1,895.63 / $2,772.98	Professional		$1,136.66	$1,895.63	$2,772.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,141.14 / $1,957.50 / $2,377.35	Facility		$1,141.14	$1,957.50	$2,377.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,145.88 / $1,957.50 / $2,377.35	Professional		$1,145.88	$1,957.50	$2,377.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $1,475.03 / $2,422.21	Professional		$230.28	$1,475.03	$2,422.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,542.13 / $1,758.99 / $1,888.73	Facility		$1,542.13	$1,758.99	$1,888.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.61 / $1,256.61 / $1,288.28	Facility		$1,256.61	$1,256.61	$1,288.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,355.50 / $2,148.92 / $2,642.25	Professional		$1,355.50	$2,148.92	$2,642.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,281.58 / $1,853.21 / $2,496.21	Professional		$1,281.58	$1,853.21	$2,496.21
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 $1,191.73 / $1,979.21 / $2,710.15	Professional		$1,191.73	$1,979.21	$2,710.15