Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,381.43 / $41,725.80 / $43,564.00	Facility		$18,381.43	$41,725.80	$43,564.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14,638.66 / $18,381.43 / $43,564.00	Professional		$14,638.66	$18,381.43	$43,564.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24,767.79 / $53,864.03 / $134,932.92	Facility		$24,767.79	$53,864.03	$134,932.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20,172.47 / $24,753.22 / $145,801.04	Professional		$20,172.47	$24,753.22	$145,801.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $16,200.25 / $16,200.25	Facility		$16,200.25	$16,200.25	$16,200.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $11,826.18 / $16,200.25	Professional		$11,826.18	$11,826.18	$16,200.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17,208.00 / $29,386.24 / $77,509.53	Facility		$17,208.00	$29,386.24	$77,509.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18,181.81 / $29,865.08 / $55,014.68	Professional		$18,181.81	$29,865.08	$55,014.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $23,990.21 / $27,295.53 / $30,025.08	Professional		$23,990.21	$27,295.53	$30,025.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25,456.97 / $28,285.52 / $29,277.32	Facility		$25,456.97	$28,285.52	$29,277.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28,285.52 / $28,285.52 / $28,285.52	Professional		$28,285.52	$28,285.52	$28,285.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,767.79 / $31,765.97 / $55,245.16	Facility		$24,767.79	$31,765.97	$55,245.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,922.59 / $27,622.58 / $27,622.58	Facility		$26,922.59	$27,622.58	$27,622.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22,470.36 / $24,042.69 / $31,114.07	Professional		$22,470.36	$24,042.69	$31,114.07
United Facility/Professional Facility Modifier Low / Median / High Price $34,568.35 / $41,482.01 / $41,482.01	Facility		$34,568.35	$41,482.01	$41,482.01
United Facility/Professional Professional Modifier Low / Median / High Price $12,934.33 / $19,931.41 / $24,677.01	Professional		$12,934.33	$19,931.41	$24,677.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17,411.83 / $17,411.83 / $17,411.83	Professional		$17,411.83	$17,411.83	$17,411.83