Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.50 / $9,246.84 / $9,654.19	Facility		$4,073.50	$9,246.84	$9,654.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,744.99 / $4,073.50 / $9,654.19	Professional		$2,744.99	$4,073.50	$9,654.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,488.78 / $11,918.72 / $24,802.46	Facility		$5,488.78	$11,918.72	$24,802.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,698.99 / $5,361.31 / $31,028.33	Professional		$3,698.99	$5,361.31	$31,028.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,798.08 / $3,798.08 / $3,798.08	Facility		$3,798.08	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $3,798.08	Professional		$2,772.60	$2,772.60	$3,798.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,957.95 / $5,954.93 / $13,460.62	Facility		$2,957.95	$5,954.93	$13,460.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,961.20 / $5,954.93 / $9,976.34	Professional		$2,961.20	$5,954.93	$9,976.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,324.82 / $4,805.35 / $5,285.89	Professional		$4,324.82	$4,805.35	$5,285.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,975.66 / $5,641.52 / $6,268.35	Facility		$4,975.66	$5,641.52	$6,268.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,489.98 / $6,268.35 / $6,268.35	Professional		$5,489.98	$6,268.35	$6,268.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,488.78 / $7,039.64 / $12,242.86	Facility		$5,488.78	$7,039.64	$12,242.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,966.31 / $6,121.43 / $6,121.43	Facility		$5,966.31	$6,121.43	$6,121.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,979.64 / $5,328.10 / $6,895.19	Professional		$4,979.64	$5,328.10	$6,895.19
United Facility/Professional Professional Modifier Low / Median / High Price $2,345.41 / $3,127.21 / $4,474.72	Professional		$2,345.41	$3,127.21	$4,474.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,029.58 / $2,029.58 / $2,872.13	Professional		$2,029.58	$2,029.58	$2,872.13