Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,069.30 / $13,777.30 / $14,384.20	Facility		$6,069.30	$13,777.30	$14,384.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,868.43 / $6,069.30 / $14,384.20	Professional		$4,868.43	$6,069.30	$14,384.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,178.00 / $17,785.21 / $42,519.53	Facility		$8,178.00	$17,785.21	$42,519.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,244.79 / $8,031.98 / $48,489.51	Professional		$6,244.79	$8,031.98	$48,489.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $6,541.83 / $6,541.83	Facility		$6,541.83	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $6,541.83	Professional		$4,775.54	$4,775.54	$6,541.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,039.58 / $9,339.51 / $22,934.06	Facility		$5,039.58	$9,339.51	$22,934.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,045.10 / $9,227.20 / $16,997.66	Professional		$5,045.10	$9,227.20	$16,997.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,443.75 / $7,159.73 / $7,875.70	Professional		$6,443.75	$7,159.73	$7,875.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,405.56 / $9,339.51 / $9,736.85	Facility		$8,405.56	$9,339.51	$9,736.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,178.00 / $10,488.71 / $18,241.24	Facility		$8,178.00	$10,488.71	$18,241.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,889.49 / $9,120.62 / $9,120.62	Facility		$8,889.49	$9,120.62	$9,120.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,419.41 / $7,938.58 / $10,273.45	Professional		$7,419.41	$7,938.58	$10,273.45
United Facility/Professional Facility Modifier Low / Median / High Price $10,680.11 / $12,816.13 / $12,816.13	Facility		$10,680.11	$12,816.13	$12,816.13
United Facility/Professional Professional Modifier Low / Median / High Price $3,996.14 / $6,020.97 / $7,624.12	Professional		$3,996.14	$6,020.97	$7,624.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,706.11 / $2,706.11 / $7,938.58	Professional		$2,706.11	$2,706.11	$7,938.58