Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,614.37 / $5,374.68 / $20,680.40	Facility		$2,614.37	$5,374.68	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.69 / $2,614.37 / $5,416.01	Professional		$1,677.69	$2,614.37	$5,416.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,886.97 / $39,499.36	Facility		$55.00	$2,886.97	$39,499.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,070.30 / $5,354.47 / $19,806.23	Professional		$3,070.30	$5,354.47	$19,806.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,664.64 / $4,361.88 / $6,415.82	Professional		$2,664.64	$4,361.88	$6,415.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,031.12 / $4,063.88 / $5,360.23	Facility		$2,031.12	$4,063.88	$5,360.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,189.58 / $4,154.70 / $5,439.72	Professional		$2,189.58	$4,154.70	$5,439.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $736.17 / $4,569.59	Professional		$200.71	$736.17	$4,569.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,914.90 / $4,064.15 / $4,373.09	Facility		$2,914.90	$4,064.15	$4,373.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,886.97 / $2,886.97 / $2,982.84	Facility		$2,886.97	$2,886.97	$2,982.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,070.30 / $4,964.49 / $6,117.76	Professional		$3,070.30	$4,964.49	$6,117.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,944.33 / $4,290.85 / $5,779.66	Professional		$2,944.33	$4,290.85	$5,779.66
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 $2,669.87 / $3,725.40 / $6,236.93	Professional		$2,669.87	$3,725.40	$6,236.93