Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.16 / $826.16 / $826.16	Professional		$826.16	$826.16	$826.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.85 / $1,668.20 / $3,191.07	Facility		$1,085.85	$1,668.20	$3,191.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $845.99 / $3,095.63	Professional		$498.96	$845.99	$3,095.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $352.78 / $681.10 / $1,557.63	Facility		$352.78	$681.10	$1,557.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.78 / $784.30 / $1,020.44	Professional		$352.78	$784.30	$1,020.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $571.44 / $686.15 / $712.21	Facility		$571.44	$686.15	$712.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $485.79 / $485.79 / $489.24	Facility		$485.79	$485.79	$489.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.65 / $817.21 / $978.09	Professional		$553.65	$817.21	$978.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,085.85 / $1,627.87 / $3,172.39	Facility		$1,085.85	$1,627.87	$3,172.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $498.96 / $735.60 / $970.75	Professional		$498.96	$735.60	$970.75
United Facility/Professional Professional Modifier Low / Median / High Price $424.62 / $497.43 / $979.17	Professional		$424.62	$497.43	$979.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.90 / $411.90 / $411.90	Professional		$411.90	$411.90	$411.90