Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29,507.32 / $66,981.60 / $69,932.30	Facility		$29,507.32	$66,981.60	$69,932.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,110.14 / $29,507.32 / $36,428.79	Professional		$22,110.14	$29,507.32	$36,428.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36,428.79 / $65,121.22 / $182,487.33	Facility		$36,428.79	$65,121.22	$182,487.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27,652.23 / $38,250.23 / $196,622.34	Professional		$27,652.23	$38,250.23	$196,622.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $31,019.05	Professional		$31,019.05	$31,019.05	$31,019.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34,445.68 / $36,359.33 / $99,119.09	Facility		$34,445.68	$36,359.33	$99,119.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34,445.68 / $36,359.33 / $40,542.57	Professional		$34,445.68	$36,359.33	$40,542.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37,375.94 / $38,272.98 / $42,100.28	Facility		$37,375.94	$38,272.98	$42,100.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31,769.55 / $36,428.79 / $74,751.88	Facility		$31,769.55	$36,428.79	$74,751.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31,769.55 / $37,375.94 / $45,535.99	Professional		$31,769.55	$37,375.94	$45,535.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,428.79 / $37,375.94 / $37,375.94	Facility		$36,428.79	$37,375.94	$37,375.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30,580.11 / $32,532.03 / $42,100.28	Professional		$30,580.11	$32,532.03	$42,100.28
United Facility/Professional Professional Modifier Low / Median / High Price $19,874.21 / $19,874.21 / $36,005.46	Professional		$19,874.21	$19,874.21	$36,005.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54,000.00 / $54,000.00 / $54,000.00	Professional		$54,000.00	$54,000.00	$54,000.00