Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.75 / $10,596.56 / $22,024.00	Facility		$396.75	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.26 / $396.75 / $669.93	Professional		$200.26	$396.75	$669.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,816.01 / $29,589.51 / $57,885.88	Facility		$15,816.01	$29,589.51	$57,885.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $955.18 / $3,806.10	Professional		$555.79	$955.18	$3,806.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,647.38 / $8,523.84 / $38,471.14	Facility		$5,647.38	$8,523.84	$38,471.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,333.87 / $5,647.38 / $11,364.16	Professional		$1,333.87	$5,647.38	$11,364.16
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 $715.09 / $5,670.41 / $10,387.82	Facility		$715.09	$5,670.41	$10,387.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.96 / $544.96 / $595.92	Facility		$544.96	$544.96	$595.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.92 / $923.36 / $1,182.85	Professional		$595.92	$923.36	$1,182.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,622.90 / $29,589.51 / $57,885.88	Facility		$19,622.90	$29,589.51	$57,885.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $555.79 / $836.65 / $1,154.69	Professional		$555.79	$836.65	$1,154.69
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 $401.28 / $592.80 / $1,142.83	Professional		$401.28	$592.80	$1,142.83