Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $663.88 / $663.88	Professional		$494.38	$663.88	$663.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $3,354.69 / $3,354.69	Facility		$1,130.00	$3,354.69	$3,354.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $635.63 / $1,468.42 / $5,296.88	Professional		$635.63	$1,468.42	$5,296.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $565.00 / $706.25 / $1,200.61	Facility		$565.00	$706.25	$1,200.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.00 / $706.25 / $1,765.62	Professional		$565.00	$706.25	$1,765.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $706.25 / $706.25 / $988.75	Facility		$706.25	$706.25	$988.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.63 / $882.81 / $1,066.44	Professional		$635.63	$882.81	$1,066.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $706.25 / $1,055.70 / $1,642.43	Professional		$706.25	$1,055.70	$1,642.43
United Facility/Professional Professional Modifier Low / Median / High Price $296.63 / $296.63 / $791.00	Professional		$296.63	$296.63	$791.00