Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $12,214.00 / $27,982.24	Facility		$4,500.00	$12,214.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,420.00 / $1,420.00 / $27,982.24	Professional		$1,420.00	$1,420.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $105.86 / $292.17	Facility		$89.12	$105.86	$292.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $160.69 / $537.45	Professional		$96.10	$160.69	$537.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.85 / $153.18 / $188.37	Facility		$87.85	$153.18	$188.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $153.18 / $187.32	Professional		$94.28	$153.18	$187.32
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 $84.88 / $125.09 / $130.65	Facility		$84.88	$125.09	$130.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.12 / $89.12 / $94.22	Facility		$89.12	$89.12	$94.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $152.65 / $182.77	Professional		$91.98	$152.65	$182.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $128.19 / $172.67	Professional		$96.10	$128.19	$172.67
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $135.21 / $208.97	Professional		$87.38	$135.21	$208.97