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 / $25,612.66	Facility		$4,500.00	$14,809.00	$25,612.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,742.43 / $15,154.57 / $15,154.57	Professional		$2,742.43	$15,154.57	$15,154.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,608.80 / $37,297.19 / $72,155.38	Facility		$15,608.80	$37,297.19	$72,155.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.49 / $2,732.23 / $8,782.16	Professional		$1,342.49	$2,732.23	$8,782.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,397.05 / $24,327.98 / $58,533.01	Facility		$6,397.05	$24,327.98	$58,533.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,899.71 / $31,851.00 / $79,999.20	Facility		$6,899.71	$31,851.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,829.81 / $2,829.81 / $8,497.21	Facility		$2,829.81	$2,829.81	$8,497.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,185.55 / $36,469.56 / $71,345.31	Facility		$24,185.55	$36,469.56	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,732.23 / $2,732.23 / $8,782.16	Professional		$2,732.23	$2,732.23	$8,782.16
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