Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.58 / $10,596.56 / $22,024.00	Facility		$516.58	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.45 / $516.58 / $730.60	Professional		$323.45	$516.58	$730.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23,522.66 / $36,246.46 / $78,294.23	Facility		$23,522.66	$36,246.46	$78,294.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $1,234.90 / $4,552.13	Professional		$720.72	$1,234.90	$4,552.13
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 $1,595.99 / $20,967.58 / $42,192.86	Professional		$1,595.99	$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 $780.39 / $8,417.08 / $26,872.07	Facility		$780.39	$8,417.08	$26,872.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.68 / $706.68 / $712.92	Facility		$706.68	$706.68	$712.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.82 / $1,187.00 / $1,420.69	Professional		$733.82	$1,187.00	$1,420.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,775.99 / $33,233.89 / $72,995.81	Facility		$23,775.99	$33,233.89	$72,995.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $934.16 / $1,276.33	Professional		$720.72	$934.16	$1,276.33
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 $619.08 / $858.00 / $1,480.63	Professional		$619.08	$858.00	$1,480.63