Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.00 / $14,098.24 / $27,982.24	Facility		$5,128.00	$14,098.24	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,340.00 / $1,574.00 / $12,757.68	Professional		$1,340.00	$1,574.00	$12,757.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,745.28 / $9,229.12 / $17,664.36	Facility		$1,745.28	$9,229.12	$17,664.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $436.96 / $1,520.48	Professional		$255.49	$436.96	$1,520.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.43 / $441.32 / $11,262.66	Facility		$251.43	$441.32	$11,262.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.43 / $408.48 / $502.32	Professional		$251.43	$408.48	$502.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $229.04 / $379.84	Professional		$47.22	$229.04	$379.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.50 / $356.83 / $7,886.00	Facility		$221.50	$356.83	$7,886.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $250.51 / $251.81	Facility		$250.51	$250.51	$251.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.91 / $420.02 / $502.71	Professional		$259.91	$420.02	$502.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,841.70 / $9,234.40 / $17,664.36	Facility		$6,841.70	$9,234.40	$17,664.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.49 / $362.23 / $487.91	Professional		$255.49	$362.23	$487.91
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.67 / $342.89 / $539.21	Professional		$241.67	$342.89	$539.21