Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.99 / $2,074.26 / $40,959.19	Facility		$1,265.99	$2,074.26	$40,959.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,422.14 / $3,945.55 / $42,617.30	Professional		$1,422.14	$3,945.55	$42,617.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,606.30 / $46,708.63 / $95,056.24	Facility		$5,606.30	$46,708.63	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,262.92 / $20,913.64 / $80,423.03	Professional		$1,262.92	$20,913.64	$80,423.03
Asuris Northwest Health Facility/Professional Professional Modifier 80 Low / Median / High Price $210.45 / $210.45 / $4,778.45	Professional	80	$210.45	$210.45	$4,778.45
Asuris Northwest Health Facility/Professional Professional Modifier AS Low / Median / High Price $178.88 / $178.88 / $4,181.14	Professional	AS	$178.88	$178.88	$4,181.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,145.04 / $16,402.31 / $39,480.55	Facility		$1,145.04	$16,402.31	$39,480.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,121.25 / $14,790.72 / $37,359.92	Professional		$1,121.25	$14,790.72	$37,359.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,699.29 / $16,491.45 / $27,538.74	Professional		$2,699.29	$16,491.45	$27,538.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,435.81 / $20,973.47 / $28,175.51	Facility		$1,435.81	$20,973.47	$28,175.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,980.46 / $14,980.46 / $16,022.16	Facility		$14,980.46	$14,980.46	$16,022.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,197.09 / $2,316.09 / $27,459.81	Professional		$1,197.09	$2,316.09	$27,459.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,259.87 / $49,692.55 / $95,056.24	Facility		$36,259.87	$49,692.55	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,160.70 / $2,138.19 / $25,371.72	Professional		$1,160.70	$2,138.19	$25,371.72
United Facility/Professional Facility Modifier Low / Median / High Price $51,045.42 / $66,605.94 / $104,676.54	Facility		$51,045.42	$66,605.94	$104,676.54
United Facility/Professional Professional Modifier Low / Median / High Price $17,714.28 / $23,871.90 / $35,972.14	Professional		$17,714.28	$23,871.90	$35,972.14