Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,921.60 / $38,132.10 / $60,368.70	Facility		$11,921.60	$38,132.10	$60,368.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,481.14 / $5,918.50 / $5,918.50	Professional		$4,481.14	$5,918.50	$5,918.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,877.75 / $13,528.00 / $29,592.50	Facility		$8,877.75	$13,528.00	$29,592.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,609.50 / $17,319.84 / $63,412.50	Professional		$7,609.50	$17,319.84	$63,412.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,793.20 / $17,972.75 / $21,831.87	Facility		$8,793.20	$17,972.75	$21,831.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,609.50 / $8,455.00 / $42,604.74	Facility		$7,609.50	$8,455.00	$42,604.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,609.50 / $8,455.00 / $21,137.50	Professional		$7,609.50	$8,455.00	$21,137.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $8,455.00 / $11,837.00	Facility		$8,455.00	$8,455.00	$11,837.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,455.00 / $14,796.25 / $25,365.00	Facility		$8,455.00	$14,796.25	$25,365.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,609.50 / $10,568.75 / $12,767.05	Professional		$7,609.50	$10,568.75	$12,767.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,877.75 / $13,528.00 / $23,251.25	Facility		$8,877.75	$13,528.00	$23,251.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9,351.23 / $16,453.84 / $19,659.59	Professional		$9,351.23	$16,453.84	$19,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.50 / $1,543.50 / $9,469.60	Professional		$1,543.50	$1,543.50	$9,469.60