Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,637.64 / $15,067.40 / $15,731.20	Facility		$6,637.64	$15,067.40	$15,731.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,250.79 / $6,637.64 / $15,731.20	Professional		$5,250.79	$6,637.64	$15,731.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,943.79 / $19,450.63 / $48,028.87	Facility		$8,943.79	$19,450.63	$48,028.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,593.96 / $8,886.24 / $52,297.82	Professional		$6,593.96	$8,886.24	$52,297.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,261.93 / $7,261.93 / $7,261.93	Facility		$7,261.93	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $7,261.93	Professional		$5,301.21	$5,301.21	$7,261.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,818.08 / $10,214.07 / $26,477.81	Facility		$5,818.08	$10,214.07	$26,477.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,824.47 / $10,225.76 / $19,623.33	Professional		$5,824.47	$10,225.76	$19,623.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,047.17 / $7,830.19 / $8,613.20	Professional		$7,047.17	$7,830.19	$8,613.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,192.66 / $10,214.07 / $10,501.57	Facility		$9,192.66	$10,214.07	$10,501.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,114.19 / $8,114.19 / $8,114.19	Professional		$8,114.19	$8,114.19	$8,114.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,943.79 / $11,470.88 / $19,949.36	Facility		$8,943.79	$11,470.88	$19,949.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,721.91 / $9,974.68 / $9,974.68	Facility		$9,721.91	$9,974.68	$9,974.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,114.19 / $8,681.95 / $11,235.48	Professional		$8,114.19	$8,681.95	$11,235.48
United Facility/Professional Professional Modifier Low / Median / High Price $4,613.50 / $6,920.24 / $8,801.95	Professional		$4,613.50	$6,920.24	$8,801.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,434.67 / $3,434.67 / $8,681.95	Professional		$3,434.67	$3,434.67	$8,681.95