Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,377.66 / $10,122.46 / $27,982.24	Facility		$1,377.66	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.48 / $1,377.66 / $2,459.27	Professional		$283.48	$1,377.66	$2,459.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.07 / $9,284.10 / $9,284.10	Facility		$1,551.07	$9,284.10	$9,284.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,581.89 / $2,711.23 / $9,998.93	Professional		$1,581.89	$2,711.23	$9,998.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,504.80 / $3,504.80 / $3,504.80	Professional		$3,504.80	$3,504.80	$3,504.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,130.58 / $1,644.86 / $2,193.14	Facility		$1,130.58	$1,644.86	$2,193.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.07 / $1,551.07 / $1,565.68	Facility		$1,551.07	$1,551.07	$1,565.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.93 / $2,606.08 / $3,119.15	Professional		$1,653.93	$2,606.08	$3,119.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,581.89 / $2,126.69 / $2,905.68	Professional		$1,581.89	$2,126.69	$2,905.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,402.84 / $1,958.28 / $3,349.11	Professional		$1,402.84	$1,958.28	$3,349.11