Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.71 / $3,344.80 / $5,295.31	Facility		$1,045.71	$3,344.80	$5,295.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.07 / $519.15 / $519.15	Professional		$393.07	$519.15	$519.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $778.72 / $1,186.61 / $2,595.73	Facility		$778.72	$1,186.61	$2,595.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $667.48 / $1,540.84 / $5,562.30	Professional		$667.48	$1,540.84	$5,562.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $667.48 / $741.64 / $1,854.10	Facility		$667.48	$741.64	$1,854.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.48 / $741.64 / $1,854.10	Professional		$667.48	$741.64	$1,854.10
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 $667.48 / $815.80 / $1,297.86	Facility		$667.48	$815.80	$1,297.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $1,297.86 / $2,224.92	Facility		$741.64	$1,297.86	$2,224.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.48 / $927.05 / $1,119.88	Professional		$667.48	$927.05	$1,119.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $778.72 / $1,186.61 / $2,039.51	Facility		$778.72	$1,186.61	$2,039.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $820.25 / $1,443.21 / $1,724.47	Professional		$820.25	$1,443.21	$1,724.47
United Facility/Professional Professional Modifier Low / Median / High Price $311.49 / $311.49 / $830.64	Professional		$311.49	$311.49	$830.64