Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,056.08 / $1,721.03 / $30,211.80	Facility		$1,056.08	$1,721.03	$30,211.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.96 / $3,289.39 / $31,448.80	Professional		$1,179.96	$3,289.39	$31,448.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,731.19 / $42,647.08 / $95,056.24	Facility		$11,731.19	$42,647.08	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.57 / $16,361.17 / $62,975.68	Professional		$1,055.57	$16,361.17	$62,975.68
Asuris Northwest Health Facility/Professional Professional Modifier 80 Low / Median / High Price $175.58 / $175.58 / $3,534.38	Professional	80	$175.58	$175.58	$3,534.38
Asuris Northwest Health Facility/Professional Professional Modifier AS Low / Median / High Price $149.24 / $149.24 / $3,092.58	Professional	AS	$149.24	$149.24	$3,092.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $952.66 / $13,248.91 / $29,292.16	Facility		$952.66	$13,248.91	$29,292.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.36 / $13,248.91 / $28,862.73	Professional		$933.36	$13,248.91	$28,862.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,112.16 / $12,911.80 / $21,548.69	Professional		$2,112.16	$12,911.80	$21,548.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,297.94 / $16,090.33 / $21,501.64	Facility		$1,297.94	$16,090.33	$21,501.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,731.19 / $11,731.19 / $12,504.16	Facility		$11,731.19	$11,731.19	$12,504.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.55 / $1,935.82 / $21,503.76	Professional		$1,000.55	$1,935.82	$21,503.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,417.30 / $46,708.63 / $95,056.24	Facility		$25,417.30	$46,708.63	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $965.13 / $1,787.14 / $19,868.58	Professional		$965.13	$1,787.14	$19,868.58
United Facility/Professional Professional Modifier Low / Median / High Price $13,799.57 / $19,092.52 / $29,348.56	Professional		$13,799.57	$19,092.52	$29,348.56