Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,836.45 / $8,708.74 / $9,092.39	Facility		$3,836.45	$8,708.74	$9,092.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,043.95 / $3,836.45 / $9,092.39	Professional		$3,043.95	$3,836.45	$9,092.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,169.38 / $11,242.18 / $24,371.76	Facility		$5,169.38	$11,242.18	$24,371.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,627.94 / $5,018.05 / $30,317.74	Professional		$3,627.94	$5,018.05	$30,317.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.06 / $2,853.06 / $2,853.06	Facility		$2,853.06	$2,853.06	$2,853.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,853.06	Professional		$2,082.73	$2,082.73	$2,853.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,872.87 / $5,608.41 / $13,072.50	Facility		$2,872.87	$5,608.41	$13,072.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,876.02 / $5,608.41 / $9,689.19	Professional		$2,876.02	$5,608.41	$9,689.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,073.14 / $4,525.72 / $4,978.29	Professional		$4,073.14	$4,525.72	$4,978.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,686.10 / $5,765.22 / $6,087.90	Facility		$4,686.10	$5,765.22	$6,087.90
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,608.41 / $5,903.59 / $6,087.90	Professional		$5,608.41	$5,903.59	$6,087.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.38 / $6,630.00 / $11,530.44	Facility		$5,169.38	$6,630.00	$11,530.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,619.12 / $5,765.22 / $5,765.22	Facility		$5,619.12	$5,765.22	$5,765.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,689.87 / $5,018.05 / $6,493.95	Professional		$4,689.87	$5,018.05	$6,493.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,277.89 / $3,267.93 / $4,345.92	Professional		$2,277.89	$3,267.93	$4,345.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,873.46 / $1,873.46 / $2,776.59	Professional		$1,873.46	$1,873.46	$2,776.59