Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,342.54 / $18,937.59 / $19,771.80	Facility		$8,342.54	$18,937.59	$19,771.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,372.05 / $8,342.54 / $11,150.46	Professional		$4,372.05	$8,342.54	$11,150.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,629.42 / $17,091.14 / $45,439.44	Facility		$11,629.42	$17,091.14	$45,439.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11,629.42 / $18,178.34 / $74,730.98	Professional		$11,629.42	$18,178.34	$74,730.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $7,551.49 / $7,551.49	Facility		$7,551.49	$7,551.49	$7,551.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $6,418.77 / $7,551.49	Professional		$6,418.77	$6,418.77	$7,551.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,045.74 / $17,072.54 / $23,182.96	Facility		$8,045.74	$17,072.54	$23,182.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,045.74 / $17,072.54 / $24,345.05	Professional		$8,045.74	$17,072.54	$24,345.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,119.60 / $16,959.43 / $17,200.24	Facility		$14,119.60	$16,959.43	$17,200.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,629.42 / $11,629.42 / $11,732.10	Facility		$11,629.42	$11,629.42	$11,732.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,896.40 / $18,601.93 / $23,287.07	Professional		$11,896.40	$18,601.93	$23,287.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,681.96 / $12,818.36 / $23,418.77	Facility		$10,681.96	$12,818.36	$23,418.77
United Facility/Professional Professional Modifier Low / Median / High Price $5,558.95 / $8,699.52 / $14,272.59	Professional		$5,558.95	$8,699.52	$14,272.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11,151.10 / $11,151.10 / $11,151.10	Professional		$11,151.10	$11,151.10	$11,151.10