Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.80 / $3,159.53 / $5,002.00	Facility		$987.80	$3,159.53	$5,002.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.30 / $490.39 / $490.39	Professional		$371.30	$490.39	$490.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $735.59 / $1,120.90 / $2,451.96	Facility		$735.59	$1,120.90	$2,451.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $630.50 / $1,456.00 / $5,254.20	Professional		$630.50	$1,456.00	$5,254.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.50 / $700.56 / $1,751.40	Facility		$630.50	$700.56	$1,751.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.50 / $700.56 / $1,751.40	Professional		$630.50	$700.56	$1,751.40
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 $630.50 / $770.62 / $1,225.98	Facility		$630.50	$770.62	$1,225.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $1,225.98 / $2,101.67	Facility		$700.56	$1,225.98	$2,101.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.50 / $875.70 / $1,057.84	Professional		$630.50	$875.70	$1,057.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $735.59 / $1,120.90 / $1,926.54	Facility		$735.59	$1,120.90	$1,926.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $774.82 / $1,363.07 / $1,629.27	Professional		$774.82	$1,363.07	$1,629.27
United Facility/Professional Professional Modifier Low / Median / High Price $294.24 / $294.24 / $784.63	Professional		$294.24	$294.24	$784.63