Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,425.00 / $13,314.00 / $27,982.24	Facility		$4,425.00	$13,314.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,804.54 / $9,804.54 / $9,804.54	Professional		$9,804.54	$9,804.54	$9,804.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,316.13 / $26,106.65 / $50,506.09	Facility		$12,316.13	$26,106.65	$50,506.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,406.43 / $5,406.43 / $5,406.43	Professional		$5,406.43	$5,406.43	$5,406.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,795.54 / $6,795.54 / $11,321.29	Facility		$6,795.54	$6,795.54	$11,321.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,428.82 / $16,092.85 / $38,719.32	Facility		$8,428.82	$16,092.85	$38,719.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,777.41 / $22,295.00 / $79,999.20	Facility		$8,777.41	$22,295.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,563.22 / $5,563.22 / $5,563.22	Facility		$5,563.22	$5,563.22	$5,563.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,231.92 / $25,527.34 / $49,939.07	Facility		$16,231.92	$25,527.34	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,406.43 / $5,406.43 / $5,406.43	Professional		$5,406.43	$5,406.43	$5,406.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $4,818.00 / $10,522.00	Facility		$1,862.00	$4,818.00	$10,522.00