Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,855.39 / $9,513.92 / $27,982.24	Facility		$1,855.39	$9,513.92	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.67 / $1,855.39 / $2,386.96	Professional		$1,260.67	$1,855.39	$2,386.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,297.34 / $31,138.56 / $31,138.56	Facility		$2,297.34	$31,138.56	$31,138.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,445.83 / $4,114.92 / $14,670.53	Professional		$2,445.83	$4,114.92	$14,670.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,142.78 / $5,142.78 / $5,142.78	Professional		$5,142.78	$5,142.78	$5,142.78
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 $2,039.78 / $2,819.55 / $3,368.09	Facility		$2,039.78	$2,819.55	$3,368.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,297.34 / $2,297.34 / $2,398.17	Facility		$2,297.34	$2,297.34	$2,398.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,556.46 / $3,953.23 / $4,711.81	Professional		$2,556.46	$3,953.23	$4,711.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,445.83 / $3,054.93 / $4,173.24	Professional		$2,445.83	$3,054.93	$4,173.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,511.23 / $3,556.95 / $5,100.92	Professional		$2,511.23	$3,556.95	$5,100.92