Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,999.18 / $11,348.20 / $11,848.10	Facility		$4,999.18	$11,348.20	$11,848.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,640.42 / $4,999.18 / $11,848.10	Professional		$3,640.42	$4,999.18	$11,848.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,736.09 / $16,480.40 / $32,412.74	Facility		$6,736.09	$16,480.40	$32,412.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,760.93 / $6,615.82 / $51,633.18	Professional		$4,760.93	$6,615.82	$51,633.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,790.37 / $3,790.37 / $3,790.37	Facility		$3,790.37	$3,790.37	$3,790.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $3,790.37	Professional		$2,766.97	$2,766.97	$3,790.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,816.54 / $7,308.17 / $17,368.12	Facility		$3,816.54	$7,308.17	$17,368.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,820.73 / $7,308.17 / $12,871.76	Professional		$3,820.73	$7,308.17	$12,871.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,307.64 / $5,897.38 / $6,487.11	Professional		$5,307.64	$5,897.38	$6,487.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,106.40 / $7,280.84 / $7,692.81	Facility		$6,106.40	$7,280.84	$7,692.81
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,923.53 / $7,692.81 / $7,846.67	Professional		$6,923.53	$7,692.81	$7,846.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,736.09 / $8,639.39 / $15,025.02	Facility		$6,736.09	$8,639.39	$15,025.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,322.13 / $7,512.51 / $7,512.51	Facility		$7,322.13	$7,512.51	$7,512.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,111.27 / $6,538.89 / $8,462.09	Professional		$6,111.27	$6,538.89	$8,462.09
United Facility/Professional Professional Modifier Low / Median / High Price $3,026.25 / $4,558.62 / $5,773.69	Professional		$3,026.25	$4,558.62	$5,773.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,601.29 / $3,601.29 / $3,688.79	Professional		$3,601.29	$3,601.29	$3,688.79