Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,545.67 / $5,261.75 / $20,680.40	Facility		$2,545.67	$5,261.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,827.39 / $2,545.67 / $5,295.39	Professional		$1,827.39	$2,545.67	$5,295.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,806.34 / $28,831.80	Facility		$55.00	$2,806.34	$28,831.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,986.10 / $5,224.02 / $19,249.58	Professional		$2,986.10	$5,224.02	$19,249.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,592.52 / $4,245.87 / $6,246.97	Professional		$2,592.52	$4,245.87	$6,246.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,481.32 / $4,191.97 / $5,291.80	Facility		$2,481.32	$4,191.97	$5,291.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,550.64 / $4,191.97 / $5,291.80	Professional		$2,550.64	$4,191.97	$5,291.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $736.08 / $4,475.33	Professional		$200.71	$736.08	$4,475.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,983.61 / $3,956.39 / $4,253.16	Facility		$2,983.61	$3,956.39	$4,253.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,806.34 / $2,806.34 / $2,901.04	Facility		$2,806.34	$2,806.34	$2,901.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,986.10 / $4,822.43 / $5,949.98	Professional		$2,986.10	$4,822.43	$5,949.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,862.09 / $4,173.18 / $5,621.15	Professional		$2,862.09	$4,173.18	$5,621.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,061.77 / $5,793.00	Facility		$1,120.00	$2,061.77	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,647.48 / $4,273.14 / $6,076.86	Professional		$2,647.48	$4,273.14	$6,076.86