Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,123.69 / $2,851.83 / $2,882.17	Professional		$2,123.69	$2,851.83	$2,882.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,854.18 / $14,410.84 / $14,410.84	Facility		$4,854.18	$14,410.84	$14,410.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,730.47 / $7,478.04 / $22,753.95	Professional		$2,730.47	$7,478.04	$22,753.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,427.09 / $3,033.86 / $7,584.65	Facility		$2,427.09	$3,033.86	$7,584.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,427.09 / $3,033.86 / $7,584.65	Professional		$2,427.09	$3,033.86	$7,584.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,033.86 / $3,033.86 / $4,247.39	Facility		$3,033.86	$3,033.86	$4,247.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,730.47 / $3,792.33 / $4,581.13	Professional		$2,730.47	$3,792.33	$4,581.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,033.86 / $5,151.49 / $7,054.24	Professional		$3,033.86	$5,151.49	$7,054.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.22 / $1,274.22 / $3,640.63	Professional		$1,274.22	$1,274.22	$3,640.63