Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.10 / $3,202.10 / $5,069.39	Facility		$1,001.10	$3,202.10	$5,069.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.30 / $497.00 / $497.00	Professional		$376.30	$497.00	$497.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $745.50 / $1,136.00 / $2,485.00	Facility		$745.50	$1,136.00	$2,485.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $1,454.66 / $5,325.00	Professional		$639.00	$1,454.66	$5,325.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $710.00 / $1,775.00	Facility		$639.00	$710.00	$1,775.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $710.00 / $1,775.00	Professional		$639.00	$710.00	$1,775.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $639.00 / $781.00 / $1,242.50	Facility		$639.00	$781.00	$1,242.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,242.50 / $2,130.00	Facility		$710.00	$1,242.50	$2,130.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $887.50 / $1,072.09	Professional		$639.00	$887.50	$1,072.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $745.50 / $1,136.00 / $1,952.50	Facility		$745.50	$1,136.00	$1,952.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $785.26 / $1,381.93 / $1,650.94	Professional		$785.26	$1,381.93	$1,650.94
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $795.20	Professional		$298.20	$298.20	$795.20