Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,148.14 / $7,146.28 / $7,461.09	Facility		$3,148.14	$7,146.28	$7,461.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,342.01 / $3,148.14 / $7,461.09	Professional		$2,342.01	$3,148.14	$7,461.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,241.92 / $9,225.18 / $21,225.02	Facility		$4,241.92	$9,225.18	$21,225.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,165.88 / $4,214.63 / $23,979.78	Professional		$3,165.88	$4,214.63	$23,979.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,364.97	Professional		$2,456.42	$2,456.42	$3,364.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,559.37 / $4,844.39 / $11,647.50	Facility		$2,559.37	$4,844.39	$11,647.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,562.17 / $4,686.16 / $8,632.48	Professional		$2,562.17	$4,686.16	$8,632.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,342.36 / $3,713.74 / $4,085.11	Professional		$3,342.36	$3,713.74	$4,085.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,845.38 / $4,684.02 / $4,844.39	Facility		$3,845.38	$4,684.02	$4,844.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,359.96 / $4,844.39 / $4,844.39	Professional		$4,359.96	$4,844.39	$4,844.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,241.92 / $5,440.49 / $9,461.71	Facility		$4,241.92	$5,440.49	$9,461.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,610.97 / $4,730.85 / $4,730.85	Facility		$4,610.97	$4,730.85	$4,730.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,848.44 / $4,117.74 / $5,328.84	Professional		$3,848.44	$4,117.74	$5,328.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,029.53 / $3,044.30 / $3,872.08	Professional		$2,029.53	$3,044.30	$3,872.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,236.04 / $2,236.04 / $2,516.48	Professional		$2,236.04	$2,236.04	$2,516.48