Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,992.37 / $11,332.70 / $11,831.90	Facility		$4,992.37	$11,332.70	$11,831.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,911.23 / $4,992.37 / $11,831.90	Professional		$3,911.23	$4,992.37	$11,831.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,726.90 / $14,442.82 / $33,390.44	Facility		$6,726.90	$14,442.82	$33,390.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,836.27 / $6,642.68 / $45,658.26	Professional		$4,836.27	$6,642.68	$45,658.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,366.38 / $4,366.38 / $4,366.38	Facility		$4,366.38	$4,366.38	$4,366.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $4,366.38	Professional		$3,187.46	$3,187.46	$4,366.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,918.00 / $7,473.68 / $17,830.31	Facility		$3,918.00	$7,473.68	$17,830.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,922.31 / $7,346.90 / $13,215.17	Professional		$3,922.31	$7,346.90	$13,215.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,300.38 / $5,889.32 / $6,478.25	Professional		$5,300.38	$5,889.32	$6,478.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,098.04 / $7,502.26 / $7,822.45	Facility		$6,098.04	$7,502.26	$7,822.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,914.08 / $7,682.31 / $7,822.45	Professional		$6,914.08	$7,682.31	$7,822.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,726.90 / $8,627.60 / $15,004.52	Facility		$6,726.90	$8,627.60	$15,004.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,312.14 / $7,502.26 / $7,502.26	Facility		$7,312.14	$7,502.26	$7,502.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,102.92 / $6,529.96 / $8,450.54	Professional		$6,102.92	$6,529.96	$8,450.54
United Facility/Professional Professional Modifier Low / Median / High Price $3,106.84 / $4,680.02 / $5,927.44	Professional		$3,106.84	$4,680.02	$5,927.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,047.49 / $3,047.49 / $3,804.46	Professional		$3,047.49	$3,047.49	$3,804.46