Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,608.54 / $28,732.80 / $39,362.19	Facility		$16,608.54	$28,732.80	$39,362.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,826.96 / $16,608.54 / $16,803.93	Professional		$15,826.96	$16,608.54	$16,803.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,259.84 / $25,889.78 / $50,053.57	Facility		$17,259.84	$25,889.78	$50,053.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $16,706.24 / $18,562.49 / $87,927.57	Professional		$16,706.24	$18,562.49	$87,927.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,608.54 / $16,608.54 / $33,217.08	Facility		$16,608.54	$16,608.54	$33,217.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,608.54 / $16,608.54 / $16,608.54	Professional		$16,608.54	$16,608.54	$16,608.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,932.66 / $9,261.37 / $67,054.17	Facility		$3,932.66	$9,261.37	$67,054.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,932.66 / $8,420.28 / $11,457.05	Professional		$3,932.66	$8,420.28	$11,457.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $65.00	Professional		$50.00	$50.00	$65.00
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 $15,533.87 / $27,615.76 / $48,327.59	Facility		$15,533.87	$27,615.76	$48,327.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18,562.49 / $18,562.49 / $18,562.49	Professional		$18,562.49	$18,562.49	$18,562.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,259.84 / $21,574.81 / $38,429.06	Facility		$17,259.84	$21,574.81	$38,429.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17,634.37 / $18,562.49 / $18,562.49	Professional		$17,634.37	$18,562.49	$18,562.49
United Facility/Professional Professional Modifier Low / Median / High Price $16,282.88 / $16,282.88 / $19,539.46	Professional		$16,282.88	$16,282.88	$19,539.46