Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.51 / $10,122.46 / $27,982.24	Facility		$237.51	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $237.51 / $379.20	Professional		$114.70	$237.51	$379.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,158.79 / $3,372.71 / $6,524.86	Facility		$2,158.79	$3,372.71	$6,524.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $310.22 / $555.77 / $2,021.78	Professional		$310.22	$555.77	$2,021.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,137.52 / $3,604.59 / $9,036.17	Facility		$1,137.52	$3,604.59	$9,036.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.28 / $714.28 / $714.28	Professional		$714.28	$714.28	$714.28
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 $386.65 / $861.69 / $1,157.76	Facility		$386.65	$861.69	$1,157.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.54 / $293.54 / $340.01	Facility		$293.54	$293.54	$340.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.01 / $526.83 / $674.88	Professional		$340.01	$526.83	$674.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,576.21 / $3,437.00 / $6,451.61	Facility		$2,576.21	$3,437.00	$6,451.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $299.38 / $436.52 / $596.40	Professional		$299.38	$436.52	$596.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.09 / $1,080.98 / $1,109.66	Facility		$1,036.09	$1,080.98	$1,109.66
United Facility/Professional Professional Modifier Low / Median / High Price $237.60 / $350.99 / $678.30	Professional		$237.60	$350.99	$678.30