Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $20,303.20	Facility		$8,628.84	$8,628.84	$20,303.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,121.26 / $8,628.84 / $8,628.84	Professional		$8,121.26	$8,628.84	$8,628.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $8,304.94 / $36,639.44	Facility		$372.40	$8,304.94	$36,639.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,197.41 / $8,628.85 / $43,967.34	Professional		$8,197.41	$8,628.85	$43,967.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,304.94 / $8,304.94 / $8,628.84	Facility		$8,304.94	$8,304.94	$8,628.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,628.84 / $8,628.84 / $8,628.84	Professional		$8,628.84	$8,628.84	$8,628.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $339.55 / $493.22 / $920.01	Facility		$339.55	$493.22	$920.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.06 / $480.10 / $802.54	Professional		$318.06	$480.10	$802.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $2,978.65 / $2,978.65	Professional		$60.00	$2,978.65	$2,978.65
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 $8,304.94 / $16,926.79 / $25,860.37	Facility		$8,304.94	$16,926.79	$25,860.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,523.30 / $8,304.94 / $10,259.04	Professional		$7,523.30	$8,304.94	$10,259.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $372.40 / $454.94 / $8,628.85	Facility		$372.40	$454.94	$8,628.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,197.41 / $8,628.85 / $8,628.85	Professional		$8,197.41	$8,628.85	$8,628.85
United Facility/Professional Professional Modifier Low / Median / High Price $8,459.66 / $8,459.66 / $10,151.59	Professional		$8,459.66	$8,459.66	$10,151.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8,142.11 / $8,142.11 / $8,142.11	Professional		$8,142.11	$8,142.11	$8,142.11