Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,169.71 / $10,700.00 / $22,024.00	Facility		$2,169.71	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,140.38 / $2,380.96 / $7,930.41	Professional		$2,140.38	$2,380.96	$7,930.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20,135.12 / $31,158.23 / $59,636.26	Facility		$20,135.12	$31,158.23	$59,636.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,180.72 / $5,521.37 / $27,827.90	Professional		$3,180.72	$5,521.37	$27,827.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,258.49 / $31,442.55 / $89,234.73	Facility		$10,258.49	$31,442.55	$89,234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,758.13 / $10,758.13 / $10,758.13	Professional		$10,758.13	$10,758.13	$10,758.13
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 $3,470.28 / $5,988.86 / $10,701.93	Facility		$3,470.28	$5,988.86	$10,701.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,152.88 / $3,152.88 / $3,180.72	Facility		$3,152.88	$3,152.88	$3,180.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,273.98 / $5,295.86 / $6,338.47	Professional		$3,273.98	$5,295.86	$6,338.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,326.97 / $31,176.05 / $59,636.26	Facility		$22,326.97	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,215.52 / $9,486.65 / $13,670.35	Professional		$3,215.52	$9,486.65	$13,670.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,521.78 / $2,419.25 / $6,612.01	Professional		$1,521.78	$2,419.25	$6,612.01