Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.05 / $7,177.85 / $7,494.06	Facility		$3,162.05	$7,177.85	$7,494.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,959.35 / $3,162.05 / $7,494.06	Professional		$2,959.35	$3,162.05	$7,494.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,260.66 / $9,265.91 / $23,421.34	Facility		$4,260.66	$9,265.91	$23,421.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,342.03 / $4,260.66 / $29,548.98	Professional		$3,342.03	$4,260.66	$29,548.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,780.72 / $2,780.72 / $2,780.72	Facility		$2,780.72	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $2,780.72	Professional		$2,029.93	$2,029.93	$2,780.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,800.07 / $4,865.79 / $12,741.56	Facility		$2,800.07	$4,865.79	$12,741.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,803.14 / $4,921.35 / $9,443.43	Professional		$2,803.14	$4,921.35	$9,443.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,357.13 / $3,730.15 / $4,103.16	Professional		$3,357.13	$3,730.15	$4,103.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,379.21 / $4,865.79 / $5,933.53	Facility		$4,379.21	$4,865.79	$5,933.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,865.44 / $3,865.44 / $4,694.81	Professional		$3,865.44	$3,865.44	$4,694.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,260.66 / $5,464.51 / $9,503.50	Facility		$4,260.66	$5,464.51	$9,503.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,631.34 / $4,751.75 / $4,751.75	Facility		$4,631.34	$4,751.75	$4,751.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,865.44 / $4,135.92 / $5,352.37	Professional		$3,865.44	$4,135.92	$5,352.37
United Facility/Professional Professional Modifier Low / Median / High Price $2,220.13 / $3,345.05 / $4,235.72	Professional		$2,220.13	$3,345.05	$4,235.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,362.96 / $2,362.96 / $2,704.43	Professional		$2,362.96	$2,362.96	$2,704.43