Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.00 / $14,093.04 / $27,982.24	Facility		$5,128.00	$14,093.04	$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 $2,405.84 / $9,229.12 / $17,664.36	Facility		$2,405.84	$9,229.12	$17,664.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $363.59 / $612.70 / $2,091.53	Professional		$363.59	$612.70	$2,091.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $626.79 / $11,262.66	Facility		$357.11	$626.79	$11,262.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.11 / $580.16 / $713.44	Professional		$357.11	$580.16	$713.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $305.12 / $490.86 / $4,921.00	Facility		$305.12	$490.86	$4,921.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.86 / $346.86 / $356.51	Facility		$346.86	$346.86	$356.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.89 / $587.47 / $704.88	Professional		$369.89	$587.47	$704.88
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 $363.59 / $498.97 / $672.09	Professional		$363.59	$498.97	$672.09
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 $343.94 / $456.49 / $767.37	Professional		$343.94	$456.49	$767.37