Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,674.77 / $31,235.00 / $46,927.76	Facility		$13,674.77	$31,235.00	$46,927.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,381.10 / $1,381.10 / $1,381.10	Professional		$1,381.10	$1,381.10	$1,381.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,125.12 / $23,023.54 / $48,804.91	Facility		$8,125.12	$23,023.54	$48,804.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,524.60 / $2,875.07 / $17,540.00	Professional		$1,524.60	$2,875.07	$17,540.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,144.40 / $21,687.94 / $49,858.00	Facility		$19,144.40	$21,687.94	$49,858.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,505.77 / $3,124.01 / $36,245.66	Facility		$1,505.77	$3,124.01	$36,245.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.77 / $2,852.64 / $5,109.67	Professional		$1,505.77	$2,852.64	$5,109.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,133.08 / $2,346.38 / $2,346.38	Professional		$2,133.08	$2,346.38	$2,346.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,598.75 / $1,928.51 / $2,030.01	Facility		$1,598.75	$1,928.51	$2,030.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.58 / $1,529.58 / $1,529.58	Facility		$1,529.58	$1,529.58	$1,529.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,529.58 / $1,529.58 / $1,529.58	Professional		$1,529.58	$1,529.58	$1,529.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,288.48 / $21,578.54 / $42,214.04	Facility		$15,288.48	$21,578.54	$42,214.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,524.60 / $2,316.12 / $3,140.82	Professional		$1,524.60	$2,316.12	$3,140.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.16 / $2,537.03 / $5,318.00	Professional		$1,439.16	$2,537.03	$5,318.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,419.19 / $2,419.19 / $2,419.19	Professional		$2,419.19	$2,419.19	$2,419.19