Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,348.69 / $12,141.50 / $12,676.40	Facility		$5,348.69	$12,141.50	$12,676.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,567.75 / $5,348.69 / $12,676.40	Professional		$3,567.75	$5,348.69	$12,676.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,207.02 / $15,266.82 / $33,007.53	Facility		$7,207.02	$15,266.82	$33,007.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,881.13 / $6,996.02 / $46,658.93	Professional		$4,881.13	$6,996.02	$46,658.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,865.01 / $4,865.01 / $4,865.01	Facility		$4,865.01	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $4,865.01	Professional		$3,551.46	$3,551.46	$4,865.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,883.88 / $7,819.08 / $17,673.75	Facility		$3,883.88	$7,819.08	$17,673.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,888.14 / $7,819.08 / $13,099.32	Professional		$3,888.14	$7,819.08	$13,099.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,678.68 / $6,309.65 / $6,940.61	Professional		$5,678.68	$6,309.65	$6,940.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,533.28 / $7,407.55 / $8,230.61	Facility		$6,533.28	$7,407.55	$8,230.61
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,135.50 / $8,230.61 / $9,053.67	Professional		$7,135.50	$8,230.61	$9,053.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,207.02 / $9,243.37 / $16,075.42	Facility		$7,207.02	$9,243.37	$16,075.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,834.03 / $8,037.71 / $8,037.71	Facility		$7,834.03	$8,037.71	$8,037.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,538.50 / $6,996.02 / $9,053.67	Professional		$6,538.50	$6,996.02	$9,053.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $3,079.62 / $4,619.43 / $5,875.52	Professional		$3,079.62	$4,619.43	$5,875.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,772.23 / $3,772.23 / $3,772.23	Professional		$3,772.23	$3,772.23	$3,772.23