Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,146.68 / $17,049.80 / $35,917.30	Facility		$5,146.68	$17,049.80	$35,917.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,832.64 / $5,146.68 / $5,310.94	Professional		$3,832.64	$5,146.68	$5,310.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,748.96 / $8,760.32 / $19,163.20	Facility		$5,748.96	$8,760.32	$19,163.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $11,382.02 / $41,064.00	Professional		$4,927.68	$11,382.02	$41,064.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,694.21 / $11,638.61 / $14,137.65	Facility		$5,694.21	$11,638.61	$14,137.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,927.68 / $5,475.20 / $13,688.00	Facility		$4,927.68	$5,475.20	$13,688.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $5,475.20 / $13,688.00	Professional		$4,927.68	$5,475.20	$13,688.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $7,665.28	Facility		$5,475.20	$5,475.20	$7,665.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,475.20 / $9,581.60 / $16,425.59	Facility		$5,475.20	$9,581.60	$16,425.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $6,844.00 / $8,267.54	Professional		$4,927.68	$6,844.00	$8,267.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,748.96 / $8,760.32 / $15,056.80	Facility		$5,748.96	$8,760.32	$15,056.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,055.57 / $10,104.59 / $13,410.31	Professional		$6,055.57	$10,104.59	$13,410.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,299.58 / $2,299.58 / $6,132.22	Professional		$2,299.58	$2,299.58	$6,132.22