Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,877.29 / $5,976.75 / $20,680.40	Facility		$2,877.29	$5,976.75	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,066.44 / $2,877.29 / $6,019.84	Professional		$2,066.44	$2,877.29	$6,019.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,176.89 / $32,585.88	Facility		$55.00	$3,176.89	$32,585.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,376.53 / $5,910.43 / $21,776.40	Professional		$3,376.53	$5,910.43	$21,776.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,938.05 / $4,799.99 / $7,057.85	Professional		$2,938.05	$4,799.99	$7,057.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,808.91 / $4,750.67 / $5,997.08	Facility		$2,808.91	$4,750.67	$5,997.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,890.58 / $4,750.67 / $5,997.08	Professional		$2,890.58	$4,750.67	$5,997.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.99 / $2,607.30 / $5,331.76	Professional		$407.99	$2,607.30	$5,331.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,400.11 / $4,470.76 / $4,809.26	Facility		$3,400.11	$4,470.76	$4,809.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,176.89 / $3,176.89 / $3,280.35	Facility		$3,176.89	$3,176.89	$3,280.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,376.53 / $5,460.55 / $6,727.94	Professional		$3,376.53	$5,460.55	$6,727.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,240.01 / $4,718.82 / $6,356.12	Professional		$3,240.01	$4,718.82	$6,356.12
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 $2,934.76 / $4,777.52 / $6,875.34	Professional		$2,934.76	$4,777.52	$6,875.34