Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,025.92 / $4,500.00 / $20,680.40	Facility		$2,025.92	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,452.69 / $2,025.92 / $4,200.81	Professional		$1,452.69	$2,025.92	$4,200.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,226.94 / $22,927.56	Facility		$55.00	$2,226.94	$22,927.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.42 / $4,146.68 / $15,270.15	Professional		$2,337.42	$4,146.68	$15,270.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,049.46 / $3,376.64 / $4,971.50	Professional		$2,049.46	$3,376.64	$4,971.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,966.77 / $3,313.82 / $4,183.25	Facility		$1,966.77	$3,313.82	$4,183.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,016.32 / $3,313.82 / $4,183.25	Professional		$2,016.32	$3,313.82	$4,183.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $1,818.47 / $3,718.75	Professional		$279.22	$1,818.47	$3,718.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,338.67 / $3,150.45 / $3,378.14	Facility		$2,338.67	$3,150.45	$3,378.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.94 / $2,226.94 / $2,304.19	Facility		$2,226.94	$2,226.94	$2,304.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,371.76 / $3,821.68 / $4,725.87	Professional		$2,371.76	$3,821.68	$4,725.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,271.19 / $3,314.61 / $4,464.68	Professional		$2,271.19	$3,314.61	$4,464.68
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 $2,091.33 / $3,268.88 / $4,823.63	Professional		$2,091.33	$3,268.88	$4,823.63