Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.89 / $529.73 / $2,333.92	Facility		$326.89	$529.73	$2,333.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.19 / $1,004.91 / $2,460.90	Professional		$363.19	$1,004.91	$2,460.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $830.83 / $1,115.36	Facility		$55.00	$830.83	$1,115.36
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $17,563.64 / $17,563.64 / $17,563.64	Facility	50	$17,563.64	$17,563.64	$17,563.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.19 / $1,159.88 / $4,455.57	Professional		$326.19	$1,159.88	$4,455.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $285.39 / $759.81 / $2,184.50	Facility		$285.39	$759.81	$2,184.50
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $13,797.66 / $13,797.66 / $13,797.66	Facility	50	$13,797.66	$13,797.66	$13,797.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.67 / $759.81 / $2,158.10	Professional		$286.67	$759.81	$2,158.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $946.03 / $1,561.10	Professional		$154.22	$946.03	$1,561.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $1,218.06 / $1,652.57	Facility		$369.39	$1,218.06	$1,652.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.83 / $830.83 / $857.08	Facility		$830.83	$830.83	$857.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $598.20 / $1,522.94	Professional		$309.19	$598.20	$1,522.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,294.04 / $9,294.04 / $11,709.09	Facility		$9,294.04	$9,294.04	$11,709.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $13,941.08 / $13,941.08 / $17,563.64	Facility	50	$13,941.08	$13,941.08	$17,563.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $292.02 / $552.26 / $1,407.13	Professional		$292.02	$552.26	$1,407.13
United Facility/Professional Professional Modifier Low / Median / High Price $935.00 / $1,423.74 / $1,914.54	Professional		$935.00	$1,423.74	$1,914.54