Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,406.23 / $7,732.14 / $8,072.76	Facility		$3,406.23	$7,732.14	$8,072.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,858.43 / $3,406.23 / $8,072.76	Professional		$2,858.43	$3,406.23	$8,072.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,589.67 / $9,374.87 / $25,033.69	Facility		$4,589.67	$9,374.87	$25,033.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,826.32 / $4,589.67 / $28,469.96	Professional		$3,826.32	$4,589.67	$28,469.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,323.97 / $3,323.97 / $3,323.97	Facility		$3,323.97	$3,323.97	$3,323.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,426.50 / $2,426.50 / $3,323.97	Professional		$2,426.50	$2,426.50	$3,323.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,577.09 / $5,853.50 / $15,198.42	Facility		$3,577.09	$5,853.50	$15,198.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,577.09 / $5,591.59 / $9,699.79	Professional		$3,577.09	$5,591.59	$9,699.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,118.68 / $5,241.53 / $5,716.86	Facility		$5,118.68	$5,241.53	$5,716.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,350.88 / $4,589.67 / $9,981.43	Facility		$4,350.88	$4,589.67	$9,981.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,350.88 / $4,739.52 / $5,886.48	Professional		$4,350.88	$4,739.52	$5,886.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,988.97 / $5,118.68 / $5,118.68	Facility		$4,988.97	$5,118.68	$5,118.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,163.95 / $4,455.30 / $5,765.68	Professional		$4,163.95	$4,455.30	$5,765.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,244.96 / $3,367.46 / $4,283.10	Professional		$2,244.96	$3,367.46	$4,283.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,443.26 / $3,443.26 / $3,443.26	Professional		$3,443.26	$3,443.26	$3,443.26