Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,882.36 / $9,513.92 / $27,982.24	Facility		$1,882.36	$9,513.92	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,144.26 / $1,882.36 / $2,363.80	Professional		$1,144.26	$1,882.36	$2,363.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,948.94 / $2,275.42 / $19,593.64	Facility		$1,948.94	$2,275.42	$19,593.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,320.63 / $3,854.26 / $13,427.25	Professional		$2,320.63	$3,854.26	$13,427.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,706.95 / $4,706.95 / $4,706.95	Professional		$4,706.95	$4,706.95	$4,706.95
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 $792.74 / $1,056.98 / $3,082.67	Facility		$792.74	$1,056.98	$3,082.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,102.66 / $2,102.66 / $2,275.42	Facility		$2,102.66	$2,102.66	$2,275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,360.81 / $3,622.83 / $4,312.52	Professional		$2,360.81	$3,622.83	$4,312.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,948.94 / $2,182.81 / $2,338.73	Facility		$1,948.94	$2,182.81	$2,338.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,320.63 / $3,024.70 / $4,074.19	Professional		$2,320.63	$3,024.70	$4,074.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,368.96 / $3,144.21 / $4,726.03	Professional		$2,368.96	$3,144.21	$4,726.03