Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71,167.10 / $71,167.10 / $167,452.00	Facility		$71,167.10	$71,167.10	$167,452.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69,492.58 / $71,167.10 / $71,167.10	Professional		$69,492.58	$71,167.10	$71,167.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60,422.34 / $71,167.44 / $272,992.50	Facility		$60,422.34	$71,167.44	$272,992.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52,644.14 / $71,167.44 / $72,798.00	Professional		$52,644.14	$71,167.44	$72,798.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71,167.10 / $71,167.10 / $134,276.88	Facility		$71,167.10	$71,167.10	$134,276.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71,167.10 / $71,167.10 / $71,167.10	Professional		$71,167.10	$71,167.10	$71,167.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60,422.34 / $60,422.34 / $61,878.30	Facility		$60,422.34	$60,422.34	$61,878.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56,054.46 / $65,518.20 / $72,798.00	Professional		$56,054.46	$65,518.20	$72,798.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $71,167.44 / $71,167.44 / $71,167.44	Facility		$71,167.44	$71,167.44	$71,167.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71,167.44 / $71,167.44 / $71,167.44	Professional		$71,167.44	$71,167.44	$71,167.44
United Facility/Professional Professional Modifier Low / Median / High Price $69,772.00 / $69,772.00 / $69,772.00	Professional		$69,772.00	$69,772.00	$69,772.00