Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.41 / $10,596.56 / $22,024.00	Facility		$609.41	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $609.41 / $1,034.74	Professional		$218.05	$609.41	$1,034.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $28,364.54 / $57,885.88	Facility		$6,674.32	$28,364.54	$57,885.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $990.99 / $1,770.76 / $6,460.80	Professional		$990.99	$1,770.76	$6,460.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,159.62 / $4,768.96 / $15,792.93	Facility		$3,159.62	$4,768.96	$15,792.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,265.03 / $3,159.62 / $6,358.10	Professional		$2,265.03	$3,159.62	$6,358.10
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 $1,217.70 / $3,172.51 / $10,387.82	Facility		$1,217.70	$3,172.51	$10,387.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.47 / $901.47 / $1,100.91	Facility		$901.47	$901.47	$1,100.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,101.98 / $1,736.37 / $2,185.19	Professional		$1,101.98	$1,736.37	$2,185.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,219.83 / $28,443.90 / $57,885.88	Facility		$8,219.83	$28,443.90	$57,885.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $990.99 / $1,250.96 / $1,770.76	Professional		$990.99	$1,250.96	$1,770.76
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 $446.85 / $695.10 / $2,324.91	Professional		$446.85	$695.10	$2,324.91