Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $10,700.00 / $22,024.00	Facility		$4,500.00	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,447.25 / $4,516.47 / $8,215.56	Professional		$3,447.25	$4,516.47	$8,215.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20,135.12 / $31,176.05 / $68,947.25	Facility		$20,135.12	$31,176.05	$68,947.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,467.77 / $12,824.49 / $51,314.48	Professional		$7,467.77	$12,824.49	$51,314.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,258.49 / $31,442.55 / $89,234.73	Facility		$10,258.49	$31,442.55	$89,234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17,987.88 / $17,987.88 / $17,987.88	Professional		$17,987.88	$17,987.88	$17,987.88
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 $6,160.63 / $8,775.84 / $11,780.61	Facility		$6,160.63	$8,775.84	$11,780.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,322.29 / $7,322.29 / $8,035.43	Facility		$7,322.29	$7,322.29	$8,035.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,035.43 / $12,450.52 / $15,949.54	Professional		$8,035.43	$12,450.52	$15,949.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,326.97 / $31,176.05 / $59,636.26	Facility		$22,326.97	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,467.77 / $11,281.25 / $15,569.75	Professional		$7,467.77	$11,281.25	$15,569.75
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.94 / $2,125.17 / $5,361.15	Professional		$1,258.94	$2,125.17	$5,361.15