Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.97 / $10,122.46 / $27,982.24	Facility		$428.97	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.97 / $428.97 / $518.59	Professional		$317.97	$428.97	$518.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $559.83 / $3,793.60 / $3,793.60	Facility		$559.83	$3,793.60	$3,793.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $965.91 / $3,575.70	Professional		$565.49	$965.91	$3,575.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.16 / $1,253.16 / $1,253.16	Professional		$1,253.16	$1,253.16	$1,253.16
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 $539.00 / $786.48 / $820.75	Facility		$539.00	$786.48	$820.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $554.47 / $554.47 / $559.83	Facility		$554.47	$554.47	$559.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.52 / $932.10 / $1,125.04	Professional		$587.52	$932.10	$1,125.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $802.94 / $1,052.28	Professional		$565.49	$802.94	$1,052.28
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 $477.36 / $709.92 / $1,182.74	Professional		$477.36	$709.92	$1,182.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.08 / $172.08 / $172.08	Professional		$172.08	$172.08	$172.08