Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,947.50 / $31,266.46 / $59,122.00	Facility		$22,947.50	$31,266.46	$59,122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,708.30 / $34,393.10	Professional		$28,424.06	$28,708.30	$34,393.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $25,781.46 / $40,522.29 / $135,352.65	Facility		$25,781.46	$40,522.29	$135,352.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $31,266.47 / $119,518.82	Professional		$28,424.06	$31,266.47	$119,518.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $27,070.53 / $50,000.00	Facility		$26,815.15	$27,070.53	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $34,859.69	Professional		$28,424.06	$28,424.06	$34,859.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,917.34 / $28,424.06 / $64,150.69	Facility		$12,917.34	$28,424.06	$64,150.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,083.86 / $28,424.06 / $55,711.16	Professional		$13,083.86	$28,424.06	$55,711.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $29,777.58 / $36,545.21	Professional		$75.00	$29,777.58	$36,545.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $32,178.18 / $79,999.20	Facility		$28,424.06	$32,178.18	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,914.24 / $39,445.62 / $72,188.08	Facility		$21,914.24	$39,445.62	$72,188.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,602.83 / $34,476.62 / $62,313.31	Professional		$28,602.83	$34,476.62	$62,313.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,014.86 / $31,266.47 / $54,029.72	Facility		$27,014.86	$31,266.47	$54,029.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $31,266.47 / $34,108.87	Professional		$28,424.06	$31,266.47	$34,108.87
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $34,108.87	Professional		$28,424.06	$28,424.06	$34,108.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27,070.53 / $28,424.06 / $28,424.06	Professional		$27,070.53	$28,424.06	$28,424.06