Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30,680.38 / $69,644.50 / $72,712.50	Facility		$30,680.38	$69,644.50	$72,712.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24,450.56 / $30,680.38 / $72,712.50	Professional		$24,450.56	$30,680.38	$72,712.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41,339.83 / $89,904.28 / $225,247.51	Facility		$41,339.83	$89,904.28	$225,247.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33,620.14 / $41,315.53 / $243,527.58	Professional		$33,620.14	$41,315.53	$243,527.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $31,290.51 / $31,290.51	Facility		$31,290.51	$31,290.51	$31,290.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $22,842.07 / $31,290.51	Professional		$22,842.07	$22,842.07	$31,290.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24,497.91 / $47,211.27 / $134,503.66	Facility		$24,497.91	$47,211.27	$134,503.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24,497.91 / $47,211.27 / $74,811.13	Professional		$24,497.91	$47,211.27	$74,811.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32,573.27 / $36,192.53 / $39,811.78	Professional		$32,573.27	$36,192.53	$39,811.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42,490.14 / $47,211.27 / $48,901.12	Facility		$42,490.14	$47,211.27	$48,901.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41,339.83 / $53,020.47 / $92,209.52	Facility		$41,339.83	$53,020.47	$92,209.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44,936.41 / $46,104.76 / $46,104.76	Facility		$44,936.41	$46,104.76	$46,104.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37,505.21 / $40,129.58 / $51,932.40	Professional		$37,505.21	$40,129.58	$51,932.40
United Facility/Professional Professional Modifier Low / Median / High Price $21,557.44 / $32,336.15 / $41,128.78	Professional		$21,557.44	$32,336.15	$41,128.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27,870.24 / $40,129.58 / $40,129.58	Professional		$27,870.24	$40,129.58	$40,129.58