Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $5,116.62 / $20,680.40	Facility		$128.30	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.30 / $749.38 / $2,083.30	Professional		$128.30	$749.38	$2,083.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $524.23 / $1,129.13 / $2,159.90	Facility		$524.23	$1,129.13	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $413.54 / $736.85	Professional		$218.99	$413.54	$736.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $88.40 / $141.96	Facility		$51.22	$88.40	$141.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.13 / $201.13 / $353.72	Facility		$201.13	$201.13	$353.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $416.48 / $702.10	Professional		$304.02	$416.48	$702.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.99 / $466.12 / $983.79	Professional		$218.99	$466.12	$983.79
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.02 / $64.98 / $422.42	Professional		$56.02	$64.98	$422.42