Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,017.72 / $4,580.22 / $4,782.00	Facility		$2,017.72	$4,580.22	$4,782.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,718.93 / $2,017.72 / $4,782.00	Professional		$1,718.93	$2,017.72	$4,782.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,718.75 / $5,984.51 / $15,093.28	Facility		$2,718.75	$5,984.51	$15,093.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,173.42 / $2,718.75 / $18,918.90	Professional		$2,173.42	$2,718.75	$18,918.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,050.41 / $2,050.41 / $2,050.41	Facility		$2,050.41	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $2,050.41	Professional		$1,496.80	$1,496.80	$2,050.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,796.79 / $3,104.89 / $8,176.87	Facility		$1,796.79	$3,104.89	$8,176.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,798.76 / $3,158.01 / $6,060.61	Professional		$1,798.76	$3,158.01	$6,060.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,142.20 / $2,380.23 / $2,618.25	Professional		$2,142.20	$2,380.23	$2,618.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,794.40 / $3,104.89 / $3,437.85	Facility		$2,794.40	$3,104.89	$3,437.85
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,466.56 / $2,466.56 / $2,466.56	Professional		$2,466.56	$2,466.56	$2,466.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,718.75 / $3,486.94 / $6,064.24	Facility		$2,718.75	$3,486.94	$6,064.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,955.28 / $3,032.12 / $3,032.12	Facility		$2,955.28	$3,032.12	$3,032.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,466.56 / $2,639.16 / $3,415.38	Professional		$2,466.56	$2,639.16	$3,415.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.81 / $2,137.21 / $2,718.36	Professional		$1,424.81	$2,137.21	$2,718.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,149.05 / $1,149.05 / $1,715.30	Professional		$1,149.05	$1,149.05	$1,715.30