Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60,799.56 / $111,892.00 / $116,927.00	Facility		$60,799.56	$111,892.00	$116,927.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55,272.31 / $55,825.05 / $60,799.56	Professional		$55,272.31	$55,825.05	$60,799.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53,426.66 / $83,269.17 / $285,085.50	Facility		$53,426.66	$83,269.17	$285,085.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,945.97 / $245,198.88	Professional		$55,272.32	$55,945.97	$245,198.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52,143.70 / $52,143.70 / $55,536.50	Facility		$52,143.70	$52,143.70	$55,536.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $67,786.81	Professional		$55,272.32	$55,272.32	$67,786.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45,936.48 / $55,272.32 / $153,793.97	Facility		$45,936.48	$55,272.32	$153,793.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43,591.80 / $55,272.32 / $70,361.66	Professional		$43,591.80	$55,272.32	$70,361.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $70.00 / $80.00	Professional		$30.00	$70.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $63,335.06 / $99,999.00	Facility		$55,272.32	$63,335.06	$99,999.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48,083.99 / $85,482.65 / $149,594.64	Facility		$48,083.99	$85,482.65	$149,594.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60,251.86 / $65,491.15 / $107,405.49	Professional		$60,251.86	$65,491.15	$107,405.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53,062.44 / $66,615.34 / $123,599.20	Facility		$53,062.44	$66,615.34	$123,599.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52,508.70 / $55,272.32 / $57,483.21	Professional		$52,508.70	$55,272.32	$57,483.21
United Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $66,326.78	Professional		$55,272.32	$55,272.32	$66,326.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $55,536.50	Professional		$55,272.32	$55,272.32	$55,536.50