Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,302.65 / $2,158.96 / $36,842.00	Facility		$1,302.65	$2,158.96	$36,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,480.21 / $4,151.68 / $38,354.60	Professional		$1,480.21	$4,151.68	$38,354.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,776.96 / $46,708.63 / $95,056.24	Facility		$5,776.96	$46,708.63	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.45 / $21,224.22 / $84,797.60	Professional		$1,294.45	$21,224.22	$84,797.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,194.08 / $16,402.31 / $38,370.15	Facility		$1,194.08	$16,402.31	$38,370.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.65 / $14,231.11 / $34,940.76	Professional		$1,170.65	$14,231.11	$34,940.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,838.21 / $17,342.68 / $28,956.08	Professional		$2,838.21	$17,342.68	$28,956.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,497.33 / $21,590.54 / $27,055.94	Facility		$1,497.33	$21,590.54	$27,055.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,784.32 / $15,784.32 / $16,619.21	Facility		$15,784.32	$15,784.32	$16,619.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,226.98 / $2,373.91 / $28,933.32	Professional		$1,226.98	$2,373.91	$28,933.32
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 $1,207.33 / $2,191.58 / $26,733.19	Professional		$1,207.33	$2,191.58	$26,733.19
United Facility/Professional Professional Modifier Low / Median / High Price $17,247.75 / $23,247.96 / $39,450.08	Professional		$17,247.75	$23,247.96	$39,450.08