Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.45 / $10,700.00 / $22,024.00	Facility		$411.45	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $411.45 / $642.23	Professional		$258.36	$411.45	$642.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,871.52 / $11,122.34 / $21,529.66	Facility		$3,871.52	$11,122.34	$21,529.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $990.29 / $3,647.93	Professional		$577.50	$990.29	$3,647.93
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 $1,278.82 / $1,278.82 / $1,278.82	Professional		$1,278.82	$1,278.82	$1,278.82
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 $548.79 / $802.64 / $837.50	Facility		$548.79	$802.64	$837.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.25 / $566.25 / $571.25	Facility		$566.25	$566.25	$571.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.00 / $951.89 / $1,139.29	Professional		$588.00	$951.89	$1,139.29
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 $577.50 / $821.75 / $1,106.88	Professional		$577.50	$821.75	$1,106.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $13,016.24 / $21,214.86	Facility		$7,198.00	$13,016.24	$21,214.86
United Facility/Professional Professional Modifier Low / Median / High Price $516.55 / $786.58 / $1,207.83	Professional		$516.55	$786.58	$1,207.83