Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,652.60 / $33,897.87 / $211,004.64	Facility		$14,652.60	$33,897.87	$211,004.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,651.17 / $14,652.60 / $34,726.69	Professional		$11,651.17	$14,652.60	$34,726.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19,743.43 / $100,282.95 / $100,282.95	Facility		$19,743.43	$100,282.95	$100,282.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13,311.26 / $23,674.95 / $168,457.73	Professional		$13,311.26	$23,674.95	$168,457.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $13,034.23 / $13,034.23	Facility		$13,034.23	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $13,034.23	Professional		$11,079.10	$11,079.10	$13,034.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11,826.04 / $22,443.84 / $41,549.91	Facility		$11,826.04	$22,443.84	$41,549.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,138.44 / $22,998.52 / $44,263.80	Professional		$13,138.44	$22,998.52	$44,263.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $19,123.59 / $21,758.41 / $23,934.25	Professional		$19,123.59	$21,758.41	$23,934.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20,292.81 / $22,547.57 / $23,302.33	Facility		$20,292.81	$22,547.57	$23,302.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $17,912.06 / $17,912.06 / $17,912.06	Professional		$17,912.06	$17,912.06	$17,912.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,743.43 / $19,743.43 / $36,507.68	Facility		$19,743.43	$19,743.43	$36,507.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16,459.73 / $24,802.33 / $24,802.33	Professional		$16,459.73	$24,802.33	$24,802.33
United Facility/Professional Professional Modifier Low / Median / High Price $10,406.57 / $15,676.03 / $19,854.37	Professional		$10,406.57	$15,676.03	$19,854.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12,562.19 / $19,165.43 / $19,165.43	Professional		$12,562.19	$19,165.43	$19,165.43