Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.62 / $575.47 / $3,246.07	Facility		$351.62	$575.47	$3,246.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.55 / $1,095.70 / $3,409.27	Professional		$394.55	$1,095.70	$3,409.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $334.06 / $334.06	Professional		$334.06	$334.06	$334.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,103.20 / $1,448.83	Facility		$55.00	$1,103.20	$1,448.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $351.05 / $1,540.13 / $5,964.52	Professional		$351.05	$1,540.13	$5,964.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $308.75 / $1,049.66 / $2,984.94	Facility		$308.75	$1,049.66	$2,984.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.61 / $1,049.66 / $2,981.37	Professional		$310.61	$1,049.66	$2,981.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $1,206.67 / $2,004.91	Professional		$197.00	$1,206.67	$2,004.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.72 / $1,617.38 / $2,267.61	Facility		$453.72	$1,617.38	$2,267.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,103.20 / $1,103.20 / $1,150.61	Facility		$1,103.20	$1,103.20	$1,150.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.75 / $643.79 / $2,022.21	Professional		$332.75	$643.79	$2,022.21
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 Professional Modifier Low / Median / High Price $316.41 / $594.34 / $1,868.44	Professional		$316.41	$594.34	$1,868.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,279.08 / $1,830.03 / $2,584.31	Professional		$1,279.08	$1,830.03	$2,584.31