Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69,162.84 / $117,883.00 / $161,494.00	Facility		$69,162.84	$117,883.00	$161,494.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65,908.12 / $69,162.84 / $69,976.52	Professional		$65,908.12	$69,162.84	$69,976.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65,476.58 / $98,214.87 / $202,977.41	Facility		$65,476.58	$98,214.87	$202,977.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69,162.84 / $76,157.30 / $350,237.97	Professional		$69,162.84	$76,157.30	$350,237.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56,824.55 / $56,824.55 / $69,162.84	Facility		$56,824.55	$56,824.55	$69,162.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69,162.84 / $69,162.84 / $69,162.84	Professional		$69,162.84	$69,162.84	$69,162.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $15,915.42 / $31,032.07 / $242,901.67	Facility		$15,915.42	$31,032.07	$242,901.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,625.31 / $28,699.51 / $33,627.14	Professional		$11,625.31	$28,699.51	$33,627.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $81,333.04 / $83,773.03	Professional		$75.00	$81,333.04	$83,773.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58,928.92 / $104,762.53 / $183,334.43	Facility		$58,928.92	$104,762.53	$183,334.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73,939.13 / $73,939.13 / $73,939.13	Professional		$73,939.13	$73,939.13	$73,939.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $65,476.58 / $81,845.73 / $145,783.60	Facility		$65,476.58	$81,845.73	$145,783.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72,349.44 / $76,157.30 / $76,157.30	Professional		$72,349.44	$76,157.30	$76,157.30
United Facility/Professional Professional Modifier Low / Median / High Price $67,806.71 / $67,806.71 / $81,368.05	Professional		$67,806.71	$67,806.71	$81,368.05