Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.78 / $2,082.48 / $2,082.48	Professional		$1,550.78	$2,082.48	$2,082.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,544.64 / $10,523.15 / $10,523.15	Facility		$3,544.64	$10,523.15	$10,523.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,993.86 / $4,708.41 / $16,615.50	Professional		$1,993.86	$4,708.41	$16,615.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,772.32 / $2,215.40 / $3,766.18	Facility		$1,772.32	$2,215.40	$3,766.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,772.32 / $2,215.40 / $5,538.50	Professional		$1,772.32	$2,215.40	$5,538.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $3,101.56	Facility		$2,215.40	$2,215.40	$3,101.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,993.86 / $2,769.25 / $3,345.25	Professional		$1,993.86	$2,769.25	$3,345.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $3,310.86 / $5,150.97	Professional		$2,215.40	$3,310.86	$5,150.97
United Facility/Professional Professional Modifier Low / Median / High Price $930.47 / $930.47 / $2,658.48	Professional		$930.47	$930.47	$2,658.48