Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $6,470.00 / $22,024.00	Facility		$1,125.00	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.66 / $955.47 / $1,447.13	Professional		$714.66	$955.47	$1,447.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,891.68 / $10,956.90 / $24,231.69	Facility		$1,891.68	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $920.08 / $1,597.40 / $5,015.03	Professional		$920.08	$1,597.40	$5,015.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,632.73 / $3,376.68	Facility		$953.00	$1,632.73	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $953.00 / $1,630.88 / $2,787.60	Professional		$953.00	$1,630.88	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $315.69 / $1,158.41	Professional		$76.76	$315.69	$1,158.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $968.43 / $1,179.86 / $1,723.24	Facility		$968.43	$1,179.86	$1,723.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.78 / $877.46 / $1,455.26	Facility		$804.78	$877.46	$1,455.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.08 / $1,386.61 / $1,686.83	Professional		$920.08	$1,386.61	$1,686.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,995.08 / $10,950.64 / $20,959.32	Facility		$7,995.08	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $894.89 / $1,276.03 / $1,847.05	Professional		$894.89	$1,276.03	$1,847.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,750.00 / $2,937.00 / $11,941.00	Facility		$1,750.00	$2,937.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $803.08 / $1,104.49 / $1,865.16	Professional		$803.08	$1,104.49	$1,865.16