Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.36 / $4,279.72 / $20,680.40	Facility		$1,887.36	$4,279.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,353.14 / $1,887.36 / $3,892.04	Professional		$1,353.14	$1,887.36	$3,892.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,075.65 / $21,360.12	Facility		$55.00	$2,075.65	$21,360.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,190.39 / $3,861.99 / $14,223.75	Professional		$2,190.39	$3,861.99	$14,223.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,908.39 / $3,144.99 / $4,631.67	Professional		$1,908.39	$3,144.99	$4,631.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,830.24 / $3,085.74 / $3,895.33	Facility		$1,830.24	$3,085.74	$3,895.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,877.54 / $3,085.74 / $3,895.33	Professional		$1,877.54	$3,085.74	$3,895.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $523.92 / $3,345.13	Professional		$160.08	$523.92	$3,345.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,193.73 / $2,934.44 / $3,146.99	Facility		$2,193.73	$2,934.44	$3,146.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,075.65 / $2,075.65 / $2,146.53	Facility		$2,075.65	$2,075.65	$2,146.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,209.46 / $3,559.52 / $4,402.50	Professional		$2,209.46	$3,559.52	$4,402.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,116.88 / $3,087.80 / $4,159.18	Professional		$2,116.88	$3,087.80	$4,159.18
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 $1,948.33 / $3,360.85 / $4,447.93	Professional		$1,948.33	$3,360.85	$4,447.93