Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.96 / $1,576.79 / $2,496.29	Facility		$492.96	$1,576.79	$2,496.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.30 / $244.73 / $244.73	Professional		$185.30	$244.73	$244.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $367.10 / $559.39 / $1,444.42	Facility		$367.10	$559.39	$1,444.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $345.62 / $726.55 / $2,622.15	Professional		$345.62	$726.55	$2,622.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $349.62 / $874.05	Facility		$314.66	$349.62	$874.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $349.62 / $874.05	Professional		$314.66	$349.62	$874.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.66 / $384.58 / $611.84	Facility		$314.66	$384.58	$611.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $611.84 / $1,048.85	Facility		$349.62	$611.84	$1,048.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $437.03 / $527.92	Professional		$314.66	$437.03	$527.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.10 / $559.39 / $961.46	Facility		$367.10	$559.39	$961.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $680.19 / $812.70	Professional		$386.68	$680.19	$812.70
United Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $419.54 / $419.54	Facility		$349.62	$419.54	$419.54
United Facility/Professional Professional Modifier Low / Median / High Price $146.84 / $146.84 / $391.57	Professional		$146.84	$146.84	$391.57