Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,837.00 / $12,757.68 / $27,982.24	Facility		$4,837.00	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,420.34 / $6,882.08 / $12,923.66	Professional		$2,420.34	$6,882.08	$12,923.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31,164.16 / $49,692.55 / $95,056.24	Facility		$31,164.16	$49,692.55	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11,823.50 / $21,269.45 / $86,384.40	Professional		$11,823.50	$21,269.45	$86,384.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,315.48 / $27,315.48 / $27,315.48	Facility		$27,315.48	$27,315.48	$27,315.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,402.31 / $23,310.87 / $80,958.03	Facility		$16,402.31	$23,310.87	$80,958.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,385.13 / $18,403.91 / $32,863.67	Professional		$13,385.13	$18,403.91	$32,863.67
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 $635.66 / $11,478.36 / $20,758.03	Facility		$635.66	$11,478.36	$20,758.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,593.18 / $11,593.18 / $13,527.20	Facility		$11,593.18	$11,593.18	$13,527.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,527.20 / $20,161.18 / $26,850.16	Professional		$13,527.20	$20,161.18	$26,850.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32,582.47 / $49,692.55 / $95,056.24	Facility		$32,582.47	$49,692.55	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11,823.50 / $20,012.79 / $27,620.52	Professional		$11,823.50	$20,012.79	$27,620.52
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 $961.66 / $1,778.01 / $33,800.44	Professional		$961.66	$1,778.01	$33,800.44