Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.00 / $12,757.68 / $27,982.24	Facility		$5,128.00	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.21 / $534.21 / $534.21	Professional		$534.21	$534.21	$534.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,650.96 / $9,229.12 / $17,664.36	Facility		$2,650.96	$9,229.12	$17,664.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $402.86 / $679.98 / $2,309.63	Professional		$402.86	$679.98	$2,309.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $395.37 / $693.96 / $11,262.66	Facility		$395.37	$693.96	$11,262.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.37 / $642.32 / $789.88	Professional		$395.37	$642.32	$789.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $361.74 / $606.05	Professional		$74.72	$361.74	$606.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $336.47 / $548.73 / $7,886.00	Facility		$336.47	$548.73	$7,886.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.51 / $382.51 / $395.02	Facility		$382.51	$382.51	$395.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.84 / $647.84 / $782.29	Professional		$409.84	$647.84	$782.29
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 $402.86 / $550.24 / $741.16	Professional		$402.86	$550.24	$741.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $8,242.00 / $17,644.00	Facility		$2,912.00	$8,242.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.07 / $540.66 / $850.22	Professional		$381.07	$540.66	$850.22