Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.18 / $2,812.16 / $18,711.00	Facility		$225.18	$2,812.16	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $160.22 / $311.89	Professional		$118.24	$160.22	$311.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,579.34 / $4,348.10 / $8,317.42	Facility		$2,579.34	$4,348.10	$8,317.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $251.40 / $324.98	Professional		$166.32	$251.40	$324.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $142.30 / $231.63	Professional		$26.61	$142.30	$231.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.57 / $233.73 / $245.89	Facility		$171.57	$233.73	$245.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.08 / $163.08 / $167.72	Facility		$163.08	$163.08	$167.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.69 / $262.41 / $332.91	Professional		$168.69	$262.41	$332.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,819.55 / $4,345.60 / $8,317.42	Facility		$2,819.55	$4,345.60	$8,317.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $239.68 / $324.98	Professional		$166.32	$239.68	$324.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $7,385.00	Facility		$1,120.00	$3,323.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.60 / $171.01 / $343.90	Professional		$139.60	$171.01	$343.90