Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,229.85 / $7,331.76 / $7,654.74	Facility		$3,229.85	$7,331.76	$7,654.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,574.02 / $3,229.85 / $7,654.74	Professional		$2,574.02	$3,229.85	$7,654.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,352.01 / $9,464.58 / $23,712.81	Facility		$4,352.01	$9,464.58	$23,712.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,539.34 / $4,349.45 / $25,637.24	Professional		$3,539.34	$4,349.45	$25,637.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,294.10	Facility		$3,294.10	$3,294.10	$3,294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $3,294.10	Professional		$2,404.69	$2,404.69	$3,294.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,861.95 / $4,970.12 / $13,024.68	Facility		$2,861.95	$4,970.12	$13,024.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,865.09 / $5,030.10 / $9,652.78	Professional		$2,865.09	$5,030.10	$9,652.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,429.11 / $3,810.13 / $4,191.14	Professional		$3,429.11	$3,810.13	$4,191.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,473.10 / $4,970.12 / $5,148.04	Facility		$4,473.10	$4,970.12	$5,148.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,948.32 / $3,948.32 / $3,948.32	Professional		$3,948.32	$3,948.32	$3,948.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,352.01 / $5,581.67 / $9,707.26	Facility		$4,352.01	$5,581.67	$9,707.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,730.63 / $4,853.63 / $4,853.63	Facility		$4,730.63	$4,853.63	$4,853.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,948.32 / $4,224.60 / $5,467.13	Professional		$3,948.32	$4,224.60	$5,467.13
United Facility/Professional Professional Modifier Low / Median / High Price $2,269.44 / $3,418.60 / $4,329.80	Professional		$2,269.44	$3,418.60	$4,329.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,779.11 / $2,779.11 / $2,779.11	Professional		$2,779.11	$2,779.11	$2,779.11