Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.90 / $6,623.55 / $20,680.40	Facility		$1,334.90	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.67 / $1,334.90 / $1,474.86	Professional		$796.67	$1,334.90	$1,474.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,994.37 / $14,663.54 / $28,368.17	Facility		$10,994.37	$14,663.54	$28,368.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,859.55 / $2,797.38	Professional		$75.00	$1,859.55	$2,797.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,505.89 / $16,446.50 / $41,228.89	Facility		$4,505.89	$16,446.50	$41,228.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,044.39 / $3,231.06 / $4,807.38	Facility		$2,044.39	$3,231.06	$4,807.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.03 / $2,173.03 / $2,173.03	Facility		$2,173.03	$2,173.03	$2,173.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,699.75 / $14,663.54 / $28,049.69	Facility		$10,699.75	$14,663.54	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,133.25 / $2,233.88 / $3,018.75	Professional		$2,133.25	$2,233.88	$3,018.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,758.92 / $2,907.25 / $3,886.14	Professional		$1,758.92	$2,907.25	$3,886.14