Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.23 / $2,794.42 / $20,680.40	Facility		$1,226.23	$2,794.42	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.29 / $1,226.23 / $2,541.29	Professional		$877.29	$1,226.23	$2,541.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,341.33 / $11,536.80	Facility		$55.00	$1,341.33	$11,536.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.12 / $2,490.69 / $9,198.45	Professional		$1,414.12	$2,490.69	$9,198.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.92 / $2,038.45 / $3,003.92	Professional		$1,238.92	$2,038.45	$3,003.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,193.09 / $2,003.22 / $2,528.79	Facility		$1,193.09	$2,003.22	$2,528.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,218.86 / $2,003.22 / $2,532.96	Professional		$1,218.86	$2,003.22	$2,532.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $339.96 / $2,167.84	Professional		$97.58	$339.96	$2,167.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,417.65 / $1,905.06 / $2,037.47	Facility		$1,417.65	$1,905.06	$2,037.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.33 / $1,341.33 / $1,389.74	Facility		$1,341.33	$1,341.33	$1,389.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,430.49 / $2,303.67 / $2,850.33	Professional		$1,430.49	$2,303.67	$2,850.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,367.98 / $1,999.15 / $2,692.81	Professional		$1,367.98	$1,999.15	$2,692.81
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 $1,231.09 / $2,036.18 / $3,054.65	Professional		$1,231.09	$2,036.18	$3,054.65