Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.06 / $10,122.46 / $27,982.24	Facility		$1,412.06	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.85 / $1,412.06 / $2,219.42	Professional		$907.85	$1,412.06	$2,219.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,824.68 / $26,758.72 / $26,758.72	Facility		$1,824.68	$26,758.72	$26,758.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.51 / $3,189.36 / $12,607.80	Professional		$1,877.51	$3,189.36	$12,607.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,419.50 / $4,419.50 / $4,419.50	Professional		$4,419.50	$4,419.50	$4,419.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,228.45 / $1,349.40 / $1,535.56	Facility		$1,228.45	$1,349.40	$1,535.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.68 / $1,824.68 / $1,974.24	Facility		$1,824.68	$1,824.68	$1,974.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,974.24 / $3,065.67 / $3,918.67	Professional		$1,974.24	$3,065.67	$3,918.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,860.94 / $2,771.71 / $3,825.36	Professional		$1,860.94	$2,771.71	$3,825.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,772.76 / $2,497.98 / $4,050.35	Professional		$1,772.76	$2,497.98	$4,050.35