Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $10,700.00 / $22,024.00	Facility		$374.64	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.56 / $374.64 / $541.49	Professional		$223.56	$374.64	$541.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,204.69 / $11,122.34 / $21,529.66	Facility		$2,204.69	$11,122.34	$21,529.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.31 / $846.22 / $3,324.15	Professional		$498.31	$846.22	$3,324.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,516.82 / $10,891.64 / $27,303.69	Facility		$3,516.82	$10,891.64	$27,303.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.19 / $1,165.19 / $1,165.19	Professional		$1,165.19	$1,165.19	$1,165.19
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 $462.74 / $676.68 / $763.13	Facility		$462.74	$676.68	$763.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.26 / $484.26 / $520.52	Facility		$484.26	$484.26	$520.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.52 / $813.40 / $1,033.19	Professional		$520.52	$813.40	$1,033.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,120.44 / $11,128.70 / $21,287.95	Facility		$8,120.44	$11,128.70	$21,287.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $493.88 / $692.90 / $933.32	Professional		$493.88	$692.90	$933.32
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 $447.04 / $609.60 / $1,015.54	Professional		$447.04	$609.60	$1,015.54