Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,540.06 / $5,765.94 / $6,019.94	Facility		$2,540.06	$5,765.94	$6,019.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.05 / $2,540.06 / $5,765.94	Professional		$2,069.05	$2,540.06	$5,765.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,295.81 / $7,828.35 / $17,957.82	Facility		$3,295.81	$7,828.35	$17,957.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,680.35 / $3,293.88 / $19,415.13	Professional		$2,680.35	$3,293.88	$19,415.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,326.75 / $2,326.75 / $2,326.75	Facility		$2,326.75	$2,326.75	$2,326.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $2,441.01	Professional		$1,698.53	$1,698.53	$2,441.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,167.62 / $3,763.92 / $9,863.43	Facility		$2,167.62	$3,763.92	$9,863.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,170.00 / $3,809.77 / $7,310.96	Professional		$2,170.00	$3,809.77	$7,310.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,596.88 / $2,885.43 / $3,173.97	Professional		$2,596.88	$2,885.43	$3,173.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,987.69 / $3,675.70 / $3,898.62	Facility		$2,987.69	$3,675.70	$3,898.62
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,987.69 / $3,763.92 / $4,140.31	Professional		$2,987.69	$3,763.92	$4,140.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,295.81 / $4,227.05 / $7,351.40	Facility		$3,295.81	$4,227.05	$7,351.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,582.55 / $3,675.70 / $3,675.70	Facility		$3,582.55	$3,675.70	$3,675.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,990.08 / $3,199.33 / $4,140.31	Professional		$2,990.08	$3,199.33	$4,140.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,589.04 / $1,853.88 / $3,278.98	Professional		$1,589.04	$1,853.88	$3,278.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $64.38 / $2,048.37	Professional		$64.38	$64.38	$2,048.37