Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,789.76 / $10,872.80 / $11,351.70	Facility		$4,789.76	$10,872.80	$11,351.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,362.06 / $4,789.76 / $11,351.70	Professional		$3,362.06	$4,789.76	$11,351.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,453.90 / $13,315.91 / $29,802.90	Facility		$6,453.90	$13,315.91	$29,802.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,573.39 / $6,338.66 / $36,484.17	Professional		$4,573.39	$6,338.66	$36,484.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $4,052.23	Professional		$2,958.13	$2,958.13	$4,052.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,512.14 / $7,002.01 / $15,982.50	Facility		$3,512.14	$7,002.01	$15,982.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,516.00 / $7,002.01 / $11,845.66	Professional		$3,516.00	$7,002.01	$11,845.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,085.27 / $5,650.31 / $6,215.34	Professional		$5,085.27	$5,650.31	$6,215.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,850.55 / $6,724.11 / $7,370.54	Facility		$5,850.55	$6,724.11	$7,370.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,633.49 / $7,370.54 / $7,370.54	Professional		$6,633.49	$7,370.54	$7,370.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,453.90 / $8,277.45 / $14,395.58	Facility		$6,453.90	$8,277.45	$14,395.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,015.39 / $7,197.79 / $7,197.79	Facility		$7,015.39	$7,197.79	$7,197.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,855.24 / $6,264.96 / $8,107.59	Professional		$5,855.24	$6,264.96	$8,107.59
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.85 / $4,194.97 / $5,313.12	Professional		$2,784.85	$4,194.97	$5,313.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,459.44 / $3,459.44 / $3,643.96	Professional		$3,459.44	$3,459.44	$3,643.96