Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.66 / $10,700.00 / $22,024.00	Facility		$230.66	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $230.66 / $334.97	Professional		$136.84	$230.66	$334.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,087.00 / $11,122.34 / $21,529.66	Facility		$1,087.00	$11,122.34	$21,529.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $307.13 / $520.87 / $2,048.92	Professional		$307.13	$520.87	$2,048.92
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 $718.09 / $718.09 / $718.09	Professional		$718.09	$718.09	$718.09
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 $286.25 / $418.58 / $470.34	Facility		$286.25	$418.58	$470.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $298.07 / $298.07 / $320.81	Facility		$298.07	$298.07	$320.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.81 / $500.67 / $636.78	Professional		$320.81	$500.67	$636.78
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 $304.00 / $428.62 / $577.35	Professional		$304.00	$428.62	$577.35
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 $267.45 / $416.74 / $635.30	Professional		$267.45	$416.74	$635.30