Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.12 / $10,596.56 / $22,024.00	Facility		$235.12	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.35 / $235.12 / $383.28	Professional		$147.35	$235.12	$383.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $10,881.75 / $21,287.95	Facility		$6,674.32	$10,881.75	$21,287.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $330.86 / $563.24 / $2,179.50	Professional		$330.86	$563.24	$2,179.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,424.02 / $3,658.68 / $15,792.93	Facility		$2,424.02	$3,658.68	$15,792.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.26 / $2,424.02 / $4,877.83	Professional		$764.26	$2,424.02	$4,877.83
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 $375.37 / $479.69 / $3,563.93	Facility		$375.37	$479.69	$3,563.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.18 / $321.18 / $341.38	Facility		$321.18	$321.18	$341.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.86 / $540.24 / $677.60	Professional		$342.86	$540.24	$677.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,023.47 / $10,881.75 / $21,287.95	Facility		$8,023.47	$10,881.75	$21,287.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.56 / $479.28 / $661.47	Professional		$327.56	$479.28	$661.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.24 / $436.15 / $685.51	Professional		$295.24	$436.15	$685.51