Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.63 / $10,596.56 / $22,024.00	Facility		$504.63	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.24 / $504.63 / $799.92	Professional		$316.24	$504.63	$799.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44,697.91 / $66,798.75 / $127,778.49	Facility		$44,697.91	$66,798.75	$127,778.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $681.19 / $1,142.34 / $4,543.95	Professional		$681.19	$1,142.34	$4,543.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20,967.58 / $31,647.28 / $110,840.16	Facility		$20,967.58	$31,647.28	$110,840.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,592.92 / $20,967.58 / $42,192.86	Professional		$1,592.92	$20,967.58	$42,192.86
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 $854.47 / $18,580.04 / $26,872.07	Facility		$854.47	$18,580.04	$26,872.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $652.32 / $711.55	Facility		$652.32	$652.32	$711.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.55 / $1,102.51 / $1,412.35	Professional		$711.55	$1,102.51	$1,412.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50,816.22 / $66,798.75 / $127,778.49	Facility		$50,816.22	$66,798.75	$127,778.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.28 / $998.97 / $1,378.72	Professional		$665.28	$998.97	$1,378.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $49,837.00 / $71,362.00	Facility		$7,425.00	$49,837.00	$71,362.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.60 / $864.00 / $1,404.00	Professional		$633.60	$864.00	$1,404.00