Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,123.75 / $10,421.90 / $20,680.40	Facility		$6,123.75	$10,421.90	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,165.89 / $6,123.75 / $12,691.20	Professional		$3,165.89	$6,123.75	$12,691.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,550.83 / $116,241.09	Facility		$55.00	$6,550.83	$116,241.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,680.98 / $11,423.52 / $42,228.53	Professional		$6,680.98	$11,423.52	$42,228.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,603.18 / $8,166.95 / $12,423.85	Facility		$4,603.18	$8,166.95	$12,423.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,988.28 / $8,612.42 / $13,315.09	Professional		$5,988.28	$8,612.42	$13,315.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.20 / $1,284.21 / $10,372.07	Professional		$320.20	$1,284.21	$10,372.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,273.59 / $9,162.45 / $9,790.64	Facility		$6,273.59	$9,162.45	$9,790.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,550.83 / $6,550.83 / $6,584.91	Facility		$6,550.83	$6,550.83	$6,584.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,953.76 / $10,956.96 / $13,114.08	Professional		$6,953.76	$10,956.96	$13,114.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,680.98 / $9,472.48 / $12,759.17	Professional		$6,680.98	$9,472.48	$12,759.17
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 $5,603.11 / $8,907.54 / $13,903.22	Professional		$5,603.11	$8,907.54	$13,903.22