Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,114.38 / $1,333.09 / $1,827.44	Facility		$1,114.38	$1,333.09	$1,827.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.47 / $1,636.41 / $3,212.30	Professional		$1,120.47	$1,636.41	$3,212.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,173.23 / $29,789.77	Facility		$9,749.10	$16,173.23	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $860.70 / $1,462.09 / $5,465.03	Professional		$860.70	$1,462.09	$5,465.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $878.20 / $1,507.09 / $11,059.86	Facility		$878.20	$1,507.09	$11,059.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.20 / $1,395.90 / $4,506.52	Professional		$878.20	$1,395.90	$4,506.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.47 / $806.08 / $1,426.96	Professional		$67.47	$806.08	$1,426.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,008.15 / $1,175.73 / $1,442.28	Facility		$1,008.15	$1,175.73	$1,442.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.41 / $839.41 / $848.65	Facility		$839.41	$839.41	$848.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.92 / $1,405.38 / $1,684.48	Professional		$891.92	$1,405.38	$1,684.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $856.09 / $1,220.79 / $1,644.37	Professional		$856.09	$1,220.79	$1,644.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,613.62 / $4,813.41 / $4,941.18	Facility		$4,613.62	$4,813.41	$4,941.18
United Facility/Professional Professional Modifier Low / Median / High Price $808.29 / $1,208.50 / $1,783.29	Professional		$808.29	$1,208.50	$1,783.29