Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $14,464.32 / $27,982.24	Facility		$4,500.00	$14,464.32	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,103.76 / $11,103.76 / $11,103.76	Professional		$11,103.76	$11,103.76	$11,103.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,634.85 / $14,095.51 / $27,269.26	Facility		$7,634.85	$14,095.51	$27,269.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.92 / $2,484.92 / $2,484.92	Professional		$2,484.92	$2,484.92	$2,484.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,010.53 / $4,010.53 / $6,681.49	Facility		$4,010.53	$4,010.53	$6,681.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,503.49 / $9,976.07 / $24,002.37	Facility		$4,503.49	$9,976.07	$24,002.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,739.10 / $12,037.00 / $79,999.20	Facility		$4,739.10	$12,037.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,556.98 / $2,556.98 / $2,556.98	Facility		$2,556.98	$2,556.98	$2,556.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,840.74 / $13,782.72 / $26,963.11	Facility		$8,840.74	$13,782.72	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,484.92 / $2,484.92 / $2,484.92	Professional		$2,484.92	$2,484.92	$2,484.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00