Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.59 / $811.28 / $1,162.84	Facility		$687.59	$811.28	$1,162.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.34 / $1,033.35 / $1,985.43	Professional		$691.34	$1,033.35	$1,985.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $523.22 / $1,746.95	Facility		$55.00	$523.22	$1,746.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $534.97 / $908.76 / $4,568.99	Professional		$534.97	$908.76	$4,568.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $386.57 / $837.97 / $1,049.55	Facility		$386.57	$837.97	$1,049.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.88 / $837.97 / $1,096.86	Professional		$505.88	$837.97	$1,096.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $558.34 / $906.41	Professional		$90.60	$558.34	$906.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.96 / $723.63 / $807.35	Facility		$589.96	$723.63	$807.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.22 / $523.22 / $526.46	Facility		$523.22	$523.22	$526.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.37 / $873.51 / $1,045.48	Professional		$554.37	$873.51	$1,045.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $533.61 / $757.32 / $1,020.10	Professional		$533.61	$757.32	$1,020.10
United Facility/Professional Professional Modifier Low / Median / High Price $506.00 / $713.00 / $1,108.41	Professional		$506.00	$713.00	$1,108.41