Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.87 / $10,122.46 / $27,982.24	Facility		$522.87	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $494.71 / $573.78	Professional		$274.70	$494.71	$573.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $676.33 / $2,589.44 / $2,589.44	Facility		$676.33	$2,589.44	$2,589.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $740.28 / $2,439.30	Professional		$418.00	$740.28	$2,439.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.30 / $855.30 / $855.30	Professional		$855.30	$855.30	$855.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.84 / $536.79 / $560.12	Facility		$367.84	$536.79	$560.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.05 / $382.05 / $676.33	Facility		$382.05	$382.05	$676.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.19 / $647.05 / $929.55	Professional		$404.19	$647.05	$929.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $464.73 / $554.17 / $915.79	Professional		$464.73	$554.17	$915.79
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $790.77 / $1,405.18	Professional		$492.36	$790.77	$1,405.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $172.08 / $172.08	Professional		$172.08	$172.08	$172.08