Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,243.10 / $6,133.74 / $20,680.40	Facility		$3,243.10	$6,133.74	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,128.25 / $3,243.10 / $6,133.74	Professional		$2,128.25	$3,243.10	$6,133.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,460.92 / $35,198.76	Facility		$55.00	$3,460.92	$35,198.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,556.60 / $6,348.76 / $23,062.50	Professional		$3,556.60	$6,348.76	$23,062.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,008.26 / $5,122.52 / $7,707.68	Professional		$3,008.26	$5,122.52	$7,707.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,831.82 / $4,586.18 / $6,340.67	Facility		$2,831.82	$4,586.18	$6,340.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,958.91 / $4,629.93 / $6,459.54	Professional		$2,958.91	$4,629.93	$6,459.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $868.48 / $5,458.50	Professional		$263.20	$868.48	$5,458.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,351.29 / $4,634.39 / $5,144.93	Facility		$3,351.29	$4,634.39	$5,144.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,460.92 / $3,460.92 / $3,509.30	Facility		$3,460.92	$3,460.92	$3,509.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,612.20 / $5,853.70 / $7,197.53	Professional		$3,612.20	$5,853.70	$7,197.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,529.68 / $5,048.18 / $6,799.75	Professional		$3,529.68	$5,048.18	$6,799.75
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 $2,991.66 / $5,411.65 / $7,410.21	Professional		$2,991.66	$5,411.65	$7,410.21