Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $12,214.00 / $25,612.66	Facility		$3,888.42	$12,214.00	$25,612.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,888.42 / $3,888.42	Professional		$3,800.00	$3,888.42	$3,888.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,231.92 / $26,106.65 / $50,506.09	Facility		$16,231.92	$26,106.65	$50,506.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,195.02 / $7,195.02 / $7,195.02	Professional		$7,195.02	$7,195.02	$7,195.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,117.86 / $11,117.86 / $18,522.22	Facility		$11,117.86	$11,117.86	$18,522.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,428.82 / $16,942.34 / $40,331.64	Facility		$8,428.82	$16,942.34	$40,331.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $12,479.42 / $16,942.34	Professional		$13.10	$12,479.42	$16,942.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,363.41 / $22,295.00 / $79,999.20	Facility		$10,363.41	$22,295.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,403.68 / $7,403.68 / $7,403.68	Facility		$7,403.68	$7,403.68	$7,403.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,928.99 / $26,091.73 / $49,939.07	Facility		$16,928.99	$26,091.73	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,195.02 / $7,195.02 / $7,195.02	Professional		$7,195.02	$7,195.02	$7,195.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00