Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,309.44 / $17,714.50 / $42,845.80	Facility		$7,309.44	$17,714.50	$42,845.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,480.40 / $7,542.72 / $7,776.00	Professional		$2,480.40	$7,542.72	$7,776.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,164.80 / $12,441.60 / $27,216.00	Facility		$8,164.80	$12,441.60	$27,216.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,998.40 / $16,158.85 / $58,320.00	Professional		$6,998.40	$16,158.85	$58,320.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,087.04 / $16,529.40 / $20,078.59	Facility		$8,087.04	$16,529.40	$20,078.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,986.05 / $8,942.42 / $10,608.67	Professional		$7,986.05	$8,942.42	$10,608.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $9,621.03 / $24,052.58	Facility		$7,776.00	$9,621.03	$24,052.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,776.00 / $13,219.20 / $24,052.58	Professional		$7,776.00	$13,219.20	$24,052.58
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 $7,776.00 / $7,776.00 / $11,664.00	Facility		$7,776.00	$7,776.00	$11,664.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,776.00 / $13,608.00 / $23,328.00	Facility		$7,776.00	$13,608.00	$23,328.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,998.40 / $9,720.00 / $11,741.76	Professional		$6,998.40	$9,720.00	$11,741.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,164.80 / $12,441.60 / $21,384.00	Facility		$8,164.80	$12,441.60	$21,384.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,600.26 / $15,132.53 / $18,080.64	Professional		$8,600.26	$15,132.53	$18,080.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,265.92 / $3,265.92 / $8,709.12	Professional		$3,265.92	$3,265.92	$8,709.12