Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,576.68 / $64,869.10 / $67,726.70	Facility		$28,576.68	$64,869.10	$67,726.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21,426.96 / $28,576.68 / $67,726.70	Professional		$21,426.96	$28,576.68	$67,726.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $38,505.25 / $83,739.73 / $202,594.16	Facility		$38,505.25	$83,739.73	$202,594.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30,440.98 / $38,257.46 / $242,681.77	Professional		$30,440.98	$38,257.46	$242,681.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $30,391.12 / $30,391.12	Facility		$30,391.12	$30,391.12	$30,391.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $22,185.52 / $30,391.12	Professional		$22,185.52	$22,185.52	$30,391.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22,228.56 / $42,132.29 / $120,500.11	Facility		$22,228.56	$42,132.29	$120,500.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21,652.56 / $42,000.98 / $67,881.34	Professional		$21,652.56	$42,000.98	$67,881.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30,339.78 / $33,710.87 / $37,081.95	Professional		$30,339.78	$33,710.87	$37,081.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39,576.68 / $42,943.45 / $47,139.30	Facility		$39,576.68	$42,943.45	$47,139.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $34,933.54 / $34,933.54 / $34,933.54	Professional		$34,933.54	$34,933.54	$34,933.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,505.25 / $49,384.97 / $85,886.90	Facility		$38,505.25	$49,384.97	$85,886.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41,855.21 / $42,943.45 / $42,943.45	Facility		$41,855.21	$42,943.45	$42,943.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34,933.54 / $37,377.98 / $48,371.50	Professional		$34,933.54	$37,377.98	$48,371.50
United Facility/Professional Professional Modifier Low / Median / High Price $19,560.65 / $29,465.37 / $37,319.18	Professional		$19,560.65	$29,465.37	$37,319.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23,953.47 / $37,377.98 / $37,377.98	Professional		$23,953.47	$37,377.98	$37,377.98