Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.21 / $10,700.00 / $22,024.00	Facility		$468.21	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.22 / $468.21 / $729.56	Professional		$294.22	$468.21	$729.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,401.28 / $24,075.80 / $46,577.20	Facility		$4,401.28	$24,075.80	$46,577.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $656.04 / $1,124.85 / $4,146.53	Professional		$656.04	$1,124.85	$4,146.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,332.37 / $27,892.75 / $69,922.92	Facility		$8,332.37	$27,892.75	$69,922.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,453.81 / $1,453.81 / $1,453.81	Professional		$1,453.81	$1,453.81	$1,453.81
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 $779.29 / $952.07 / $8,264.60	Facility		$779.29	$952.07	$8,264.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.26 / $643.26 / $649.40	Facility		$643.26	$643.26	$649.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.44 / $1,081.24 / $1,294.09	Professional		$668.44	$1,081.24	$1,294.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,390.14 / $24,534.76 / $46,054.28	Facility		$18,390.14	$24,534.76	$46,054.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $656.04 / $934.16 / $1,258.30	Professional		$656.04	$934.16	$1,258.30
United Facility/Professional Facility Modifier Low / Median / High Price $18,734.00 / $29,599.70 / $48,243.83	Facility		$18,734.00	$29,599.70	$48,243.83
United Facility/Professional Professional Modifier Low / Median / High Price $584.27 / $802.20 / $1,349.96	Professional		$584.27	$802.20	$1,349.96