Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,805.05 / $7,803.19 / $20,680.40	Facility		$4,805.05	$7,803.19	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,175.37 / $4,608.43 / $9,129.59	Professional		$3,175.37	$4,608.43	$9,129.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,891.27 / $57,531.46	Facility		$55.00	$4,891.27	$57,531.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,949.57 / $8,417.08 / $31,533.90	Professional		$4,949.57	$8,417.08	$31,533.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,227.70 / $13,334.82 / $16,886.06	Professional		$4,227.70	$13,334.82	$16,886.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,356.06 / $6,774.96 / $8,917.14	Facility		$3,356.06	$6,774.96	$8,917.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,356.06 / $6,774.96 / $9,001.35	Professional		$3,356.06	$6,774.96	$9,001.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $1,240.12 / $7,820.87	Professional		$314.66	$1,240.12	$7,820.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,081.30 / $6,594.25 / $7,171.01	Facility		$5,081.30	$6,594.25	$7,171.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,810.85 / $4,810.85 / $4,891.27	Facility		$4,810.85	$4,810.85	$4,891.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,097.60 / $8,090.65 / $9,765.35	Professional		$5,097.60	$8,090.65	$9,765.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,681.70 / $7,036.16 / $9,193.87	Professional		$5,681.70	$7,036.16	$9,193.87
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,025.92 / $5,848.15 / $10,266.18	Professional		$4,025.92	$5,848.15	$10,266.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,974.08 / $3,731.39 / $3,731.39	Professional		$2,974.08	$3,731.39	$3,731.39