Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.57 / $11,029.52 / $27,982.24	Facility		$1,113.57	$11,029.52	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.96 / $1,113.57 / $1,738.03	Professional		$676.96	$1,113.57	$1,738.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14,402.52 / $49,692.55 / $96,135.53	Facility		$14,402.52	$49,692.55	$96,135.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,507.29 / $2,544.11 / $9,869.78	Professional		$1,507.29	$2,544.11	$9,869.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50,880.05 / $62,698.24 / $80,958.03	Facility		$50,880.05	$62,698.24	$80,958.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,459.93 / $3,459.93 / $3,459.93	Professional		$3,459.93	$3,459.93	$3,459.93
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 $1,856.58 / $2,265.94 / $17,058.16	Facility		$1,856.58	$2,265.94	$17,058.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.77 / $1,452.77 / $1,545.57	Facility		$1,452.77	$1,452.77	$1,545.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.66 / $2,440.21 / $3,067.81	Professional		$1,548.66	$2,440.21	$3,067.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $38,979.82 / $50,639.86 / $95,056.24	Facility		$38,979.82	$50,639.86	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,481.63 / $2,169.89 / $2,994.76	Professional		$1,481.63	$2,169.89	$2,994.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,411.08 / $1,924.20 / $3,096.35	Professional		$1,411.08	$1,924.20	$3,096.35