Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.94 / $10,122.46 / $27,982.24	Facility		$878.94	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $878.94 / $1,398.55	Professional		$139.91	$878.94	$1,398.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $854.81 / $1,075.79 / $5,439.31	Facility		$854.81	$1,075.79	$5,439.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $871.79 / $1,457.49 / $7,345.05	Professional		$871.79	$1,457.49	$7,345.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,919.30 / $1,919.30 / $1,919.30	Professional		$1,919.30	$1,919.30	$1,919.30
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 $619.08 / $877.03 / $1,068.38	Facility		$619.08	$877.03	$1,068.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $854.81 / $854.81 / $857.33	Facility		$854.81	$854.81	$857.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.72 / $1,436.58 / $1,719.40	Professional		$911.72	$1,436.58	$1,719.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $871.79 / $1,233.94 / $1,685.92	Professional		$871.79	$1,233.94	$1,685.92
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 $785.31 / $1,195.98 / $1,897.03	Professional		$785.31	$1,195.98	$1,897.03