Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.21 / $14,093.04 / $27,982.24	Facility		$611.21	$14,093.04	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.52 / $611.21 / $1,131.83	Professional		$365.52	$611.21	$1,131.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.68 / $93,232.35 / $180,367.91	Facility		$6,079.68	$93,232.35	$180,367.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $820.23 / $1,447.52 / $5,416.20	Professional		$820.23	$1,447.52	$5,416.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33,547.03 / $117,831.64 / $295,386.15	Facility		$33,547.03	$117,831.64	$295,386.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,008.24 / $2,008.24 / $2,008.24	Professional		$2,008.24	$2,008.24	$2,008.24
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 $763.10 / $1,236.82 / $32,004.25	Facility		$763.10	$1,236.82	$32,004.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.03 / $790.03 / $848.19	Facility		$790.03	$790.03	$848.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.19 / $1,327.01 / $1,683.58	Professional		$848.19	$1,327.01	$1,683.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71,214.92 / $95,009.67 / $178,342.95	Facility		$71,214.92	$95,009.67	$178,342.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $805.73 / $1,409.94 / $1,949.87	Professional		$805.73	$1,409.94	$1,949.87
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 $730.84 / $963.38 / $1,656.79	Professional		$730.84	$963.38	$1,656.79