Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,305.03 / $4,792.22 / $20,680.40	Facility		$2,305.03	$4,792.22	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.19 / $2,305.03 / $4,792.22	Professional		$1,563.19	$2,305.03	$4,792.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,535.89 / $26,107.32	Facility		$55.00	$2,535.89	$26,107.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,652.01 / $4,723.53 / $17,405.55	Professional		$2,652.01	$4,723.53	$17,405.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,338.96 / $3,843.52 / $5,659.51	Professional		$2,338.96	$3,843.52	$5,659.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,901.17 / $3,570.49 / $4,723.10	Facility		$1,901.17	$3,570.49	$4,723.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,112.15 / $3,654.67 / $4,774.07	Professional		$2,112.15	$3,654.67	$4,774.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $615.47 / $4,029.73	Professional		$190.97	$615.47	$4,029.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,680.74 / $3,443.88 / $3,848.48	Facility		$2,680.74	$3,443.88	$3,848.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,535.89 / $2,535.89 / $2,625.01	Facility		$2,535.89	$2,535.89	$2,625.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,701.98 / $4,354.63 / $5,383.85	Professional		$2,701.98	$4,354.63	$5,383.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,586.28 / $3,776.11 / $5,086.31	Professional		$2,586.28	$3,776.11	$5,086.31
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 $2,278.08 / $4,012.73 / $5,494.66	Professional		$2,278.08	$4,012.73	$5,494.66