Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,144.17 / $9,407.27 / $9,821.68	Facility		$4,144.17	$9,407.27	$9,821.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,132.71 / $4,144.17 / $9,821.68	Professional		$3,132.71	$4,144.17	$9,821.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,584.01 / $11,753.31 / $27,462.75	Facility		$5,584.01	$11,753.31	$27,462.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,058.12 / $5,548.08 / $34,404.35	Professional		$4,058.12	$5,548.08	$34,404.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,745.37 / $3,745.37 / $3,745.37	Facility		$3,745.37	$3,745.37	$3,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $3,745.37	Professional		$2,734.12	$2,734.12	$3,745.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,281.00 / $6,257.77 / $14,929.68	Facility		$3,281.00	$6,257.77	$14,929.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,284.61 / $6,110.00 / $11,065.33	Professional		$3,284.61	$6,110.00	$11,065.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,399.85 / $4,888.72 / $5,377.60	Professional		$4,399.85	$4,888.72	$5,377.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,061.99 / $6,227.64 / $6,377.10	Facility		$5,061.99	$6,227.64	$6,377.10
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,058.25 / $6,377.10 / $6,377.10	Professional		$6,058.25	$6,377.10	$6,377.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,584.01 / $7,161.79 / $12,455.28	Facility		$5,584.01	$7,161.79	$12,455.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,069.82 / $6,227.64 / $6,227.64	Facility		$6,069.82	$6,227.64	$6,227.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,066.04 / $5,420.54 / $7,014.81	Professional		$5,066.04	$5,420.54	$7,014.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,601.52 / $3,905.75 / $4,963.35	Professional		$2,601.52	$3,905.75	$4,963.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,774.37 / $2,774.37 / $3,171.15	Professional		$2,774.37	$2,774.37	$3,171.15