Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $36.19 / $40.11	Professional		$34.59	$36.19	$40.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,197.56 / $3,171.72 / $5,131.85	Facility		$2,197.56	$3,171.72	$5,131.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $80.59 / $5,749.92	Professional		$48.76	$80.59	$5,749.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $950.50 / $2,586.21 / $4,789.57	Facility		$950.50	$2,586.21	$4,789.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,560.30 / $1,560.30 / $1,560.30	Professional		$1,560.30	$1,560.30	$1,560.30
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 $356.01 / $786.35 / $986.91	Facility		$356.01	$786.35	$986.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $41.22 / $49.81	Facility		$41.22	$41.22	$49.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $71.84 / $102.17	Professional		$49.81	$71.84	$102.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,159.44 / $2,827.07 / $5,407.87	Facility		$2,159.44	$2,827.07	$5,407.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $66.70 / $2,623.86	Professional		$42.04	$66.70	$2,623.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,701.97 / $3,525.63 / $5,540.81	Facility		$2,701.97	$3,525.63	$5,540.81
United Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $59.80 / $105.41	Professional		$34.96	$59.80	$105.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $463.69 / $463.69 / $463.69	Professional		$463.69	$463.69	$463.69