Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.49 / $189.84 / $208.21	Professional		$179.49	$189.84	$208.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $323.57 / $5,622.32 / $5,622.32	Facility		$323.57	$5,622.32	$5,622.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $398.41 / $6,299.47	Professional		$231.70	$398.41	$6,299.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.84 / $1,945.84 / $1,945.84	Professional		$1,945.84	$1,945.84	$1,945.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.54 / $380.64 / $1,230.79	Facility		$328.54	$380.64	$1,230.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.08 / $216.08 / $231.70	Facility		$216.08	$216.08	$231.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.74 / $376.52 / $475.21	Professional		$246.74	$376.52	$475.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $323.57 / $323.57 / $323.57	Facility		$323.57	$323.57	$323.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $220.37 / $334.90 / $2,874.64	Professional		$220.37	$334.90	$2,874.64
United Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $320.26 / $503.81	Professional		$189.50	$320.26	$503.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.20 / $491.20 / $491.20	Professional		$491.20	$491.20	$491.20