Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.24 / $792.43 / $1,023.16	Facility		$628.24	$792.43	$1,023.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.42 / $970.30 / $1,924.17	Professional		$631.42	$970.30	$1,924.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $500.11 / $3,796.83 / $3,796.83	Facility		$500.11	$3,796.83	$3,796.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $516.50 / $868.66 / $3,216.98	Professional		$516.50	$868.66	$3,216.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $353.09 / $785.17 / $977.96	Facility		$353.09	$785.17	$977.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.62 / $801.42 / $1,020.38	Professional		$459.62	$801.42	$1,020.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.61 / $561.97 / $904.80	Professional		$90.61	$561.97	$904.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.32 / $696.47 / $752.41	Facility		$562.32	$696.47	$752.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.11 / $500.11 / $501.79	Facility		$500.11	$500.11	$501.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.78 / $833.19 / $997.22	Professional		$528.78	$833.19	$997.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $510.05 / $721.83 / $972.28	Professional		$510.05	$721.83	$972.28
United Facility/Professional Professional Modifier Low / Median / High Price $480.92 / $677.66 / $1,097.92	Professional		$480.92	$677.66	$1,097.92