Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $10,596.56 / $22,024.00	Facility		$4,500.00	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,130.54 / $9,161.17 / $11,045.82	Professional		$2,130.54	$9,161.17	$11,045.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32,582.47 / $81,747.99 / $159,681.66	Facility		$32,582.47	$81,747.99	$159,681.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,672.17 / $11,895.24 / $60,271.33	Professional		$3,672.17	$11,895.24	$60,271.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,000.00 / $50,000.00 / $50,000.00	Facility		$50,000.00	$50,000.00	$50,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,402.31 / $58,633.60 / $146,985.60	Facility		$16,402.31	$58,633.60	$146,985.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,822.69 / $10,822.69 / $10,822.69	Professional		$10,822.69	$10,822.69	$10,822.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,516.53 / $17,475.66 / $38,308.79	Facility		$2,516.53	$17,475.66	$38,308.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,710.22 / $5,710.22 / $13,009.25	Facility		$5,710.22	$5,710.22	$13,009.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,458.27 / $11,711.56 / $22,785.16	Professional		$7,458.27	$11,711.56	$22,785.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42,136.65 / $76,883.14 / $156,464.09	Facility		$42,136.65	$76,883.14	$156,464.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,548.33 / $3,672.17 / $13,267.72	Professional		$2,548.33	$3,672.17	$13,267.72
United Facility/Professional Facility Modifier Low / Median / High Price $6,318.00 / $26,100.00 / $37,994.97	Facility		$6,318.00	$26,100.00	$37,994.97
United Facility/Professional Professional Modifier Low / Median / High Price $8,809.54 / $13,786.04 / $25,038.91	Professional		$8,809.54	$13,786.04	$25,038.91