Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,294.63 / $41,528.80 / $43,358.30	Facility		$18,294.63	$41,528.80	$43,358.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14,608.97 / $18,294.63 / $43,358.30	Professional		$14,608.97	$18,294.63	$43,358.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24,650.85 / $48,111.26 / $134,345.48	Facility		$24,650.85	$48,111.26	$134,345.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21,749.76 / $24,650.85 / $145,505.29	Professional		$21,749.76	$24,650.85	$145,505.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,524.00 / $16,524.00 / $16,524.00	Facility		$16,524.00	$16,524.00	$16,524.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,062.52 / $12,062.52 / $16,524.00	Professional		$12,062.52	$12,062.52	$16,524.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20,487.90 / $32,026.96 / $80,204.20	Facility		$20,487.90	$32,026.96	$80,204.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20,487.90 / $32,026.96 / $55,554.92	Professional		$20,487.90	$32,026.96	$55,554.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $28,151.96 / $28,151.96	Professional		$60.00	$28,151.96	$28,151.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26,744.36 / $28,151.96 / $29,217.93	Facility		$26,744.36	$28,151.96	$29,217.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22,364.27 / $22,364.27 / $22,364.27	Professional		$22,364.27	$22,364.27	$22,364.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,368.33 / $24,650.85 / $53,609.69	Facility		$23,368.33	$24,650.85	$53,609.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,368.33 / $25,455.70 / $31,615.97	Professional		$23,368.33	$25,455.70	$31,615.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,795.47 / $27,492.15 / $27,492.15	Facility		$26,795.47	$27,492.15	$27,492.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $22,364.27 / $23,929.17 / $30,967.16	Professional		$22,364.27	$23,929.17	$30,967.16
United Facility/Professional Professional Modifier Low / Median / High Price $12,857.86 / $19,813.56 / $24,531.12	Professional		$12,857.86	$19,813.56	$24,531.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22,275.00 / $23,929.17 / $23,929.17	Professional		$22,275.00	$23,929.17	$23,929.17