Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $14,809.00 / $27,982.24	Facility		$4,500.00	$14,809.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,742.43 / $16,536.72 / $16,536.72	Professional		$2,742.43	$16,536.72	$16,536.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,297.19 / $72,155.38	Facility		$24,749.60	$37,297.19	$72,155.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $581.01 / $5,480.38 / $17,615.52	Professional		$581.01	$5,480.38	$17,615.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $22,566.90	Facility		$714.97	$870.49	$22,566.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,593.29 / $17,903.79 / $59,967.68	Facility		$12,593.29	$17,903.79	$59,967.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,983.68 / $16,935.09 / $23,127.48	Professional		$10,983.68	$16,935.09	$23,127.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,539.82 / $31,851.00 / $79,999.20	Facility		$12,539.82	$31,851.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,676.11 / $5,676.11 / $17,043.99	Facility		$5,676.11	$5,676.11	$17,043.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,493.02 / $37,297.19 / $71,345.31	Facility		$27,493.02	$37,297.19	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,480.38 / $5,480.38 / $17,615.52	Professional		$5,480.38	$5,480.38	$17,615.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00