Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,990.01 / $26,469.00 / $60,690.00	Facility		$7,990.01	$26,469.00	$60,690.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,355.01 / $7,990.01 / $8,245.01	Professional		$5,355.01	$7,990.01	$8,245.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,925.00 / $13,948.50 / $40,375.00	Facility		$8,925.00	$13,948.50	$40,375.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,650.00 / $22,935.54 / $63,750.00	Professional		$7,650.00	$22,935.54	$63,750.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,840.00 / $18,068.41 / $21,948.06	Facility		$8,840.00	$18,068.41	$21,948.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,650.00 / $8,500.00 / $14,450.00	Facility		$7,650.00	$8,500.00	$14,450.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,650.00 / $8,500.00 / $21,250.00	Professional		$7,650.00	$8,500.00	$21,250.00
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 $8,500.00 / $8,500.00 / $11,900.00	Facility		$8,500.00	$8,500.00	$11,900.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $14,875.00 / $25,500.00	Facility		$8,500.00	$14,875.00	$25,500.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,650.00 / $10,625.00 / $12,835.00	Professional		$7,650.00	$10,625.00	$12,835.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,925.00 / $14,025.00 / $23,375.00	Facility		$8,925.00	$14,025.00	$23,375.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9,401.00 / $16,610.00 / $19,764.09	Professional		$9,401.00	$16,610.00	$19,764.09
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.00 / $3,570.00 / $9,520.00	Professional		$3,570.00	$3,570.00	$9,520.00