Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,761.42 / $16,386.40 / $39,633.40	Facility		$6,761.42	$16,386.40	$39,633.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,035.10 / $6,761.42 / $10,645.60	Professional		$5,035.10	$6,761.42	$10,645.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,552.65 / $11,508.80 / $29,717.16	Facility		$7,552.65	$11,508.80	$29,717.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,474.81 / $14,734.49 / $53,947.50	Professional		$6,474.81	$14,734.49	$53,947.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,480.72 / $15,290.12 / $18,573.23	Facility		$7,480.72	$15,290.12	$18,573.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.83 / $7,820.78 / $10,515.15	Professional		$3,548.83	$7,820.78	$10,515.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $8,991.25 / $24,619.68	Facility		$7,193.00	$8,991.25	$24,619.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $12,228.10 / $22,249.62	Professional		$7,193.00	$12,228.10	$22,249.62
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 $7,193.00 / $7,552.65 / $10,789.50	Facility		$7,193.00	$7,552.65	$10,789.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $12,587.75 / $21,579.00	Facility		$7,193.00	$12,587.75	$21,579.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,473.70 / $8,991.25 / $10,861.43	Professional		$6,473.70	$8,991.25	$10,861.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,552.65 / $11,508.80 / $19,780.75	Facility		$7,552.65	$11,508.80	$19,780.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,955.46 / $13,997.77 / $16,725.37	Professional		$7,955.46	$13,997.77	$16,725.37
United Facility/Professional Professional Modifier Low / Median / High Price $3,021.06 / $3,021.06 / $8,056.16	Professional		$3,021.06	$3,021.06	$8,056.16