Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,690.90 / $34,195.69 / $54,136.90	Facility		$10,690.90	$34,195.69	$54,136.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,666.54 / $2,666.54 / $2,666.54	Professional		$2,666.54	$2,666.54	$2,666.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,961.31 / $12,131.52 / $26,537.70	Facility		$7,961.31	$12,131.52	$26,537.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,823.98 / $15,756.42 / $56,866.50	Professional		$6,823.98	$15,756.42	$56,866.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,885.49 / $16,117.44 / $19,578.18	Facility		$7,885.49	$16,117.44	$19,578.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,823.98 / $7,582.20 / $18,955.50	Facility		$6,823.98	$7,582.20	$18,955.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,823.98 / $7,582.20 / $18,955.50	Professional		$6,823.98	$7,582.20	$18,955.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,823.98 / $8,340.42 / $13,268.85	Facility		$6,823.98	$8,340.42	$13,268.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,582.20 / $13,268.85 / $22,746.60	Facility		$7,582.20	$13,268.85	$22,746.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,823.98 / $9,477.75 / $11,449.12	Professional		$6,823.98	$9,477.75	$11,449.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,961.31 / $12,131.52 / $20,851.05	Facility		$7,961.31	$12,131.52	$20,851.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,385.91 / $14,755.40 / $17,630.16	Professional		$8,385.91	$14,755.40	$17,630.16
United Facility/Professional Professional Modifier Low / Median / High Price $3,184.52 / $3,184.52 / $8,492.06	Professional		$3,184.52	$3,184.52	$8,492.06