Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,959.54 / $15,798.20 / $16,494.09	Facility		$6,959.54	$15,798.20	$16,494.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,491.85 / $6,959.54 / $16,494.09	Professional		$5,491.85	$6,959.54	$16,494.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,377.54 / $20,393.91 / $48,813.24	Facility		$9,377.54	$20,393.91	$48,813.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,357.52 / $9,317.20 / $54,698.83	Professional		$7,357.52	$9,317.20	$54,698.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $7,503.37 / $7,503.37	Facility		$7,503.37	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $7,503.37	Professional		$5,477.46	$5,477.46	$7,503.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,927.28 / $10,709.42 / $26,972.81	Facility		$5,927.28	$10,709.42	$26,972.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,933.79 / $10,709.42 / $19,990.74	Professional		$5,933.79	$10,709.42	$19,990.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,388.91 / $8,209.91 / $9,030.90	Professional		$7,388.91	$8,209.91	$9,030.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,638.48 / $10,709.42 / $10,983.70	Facility		$9,638.48	$10,709.42	$10,983.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,507.68 / $8,507.68 / $8,507.68	Professional		$8,507.68	$8,507.68	$8,507.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,377.54 / $12,027.18 / $20,916.84	Facility		$9,377.54	$12,027.18	$20,916.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,193.39 / $10,458.42 / $10,458.42	Facility		$10,193.39	$10,458.42	$10,458.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,507.68 / $9,103.01 / $11,780.36	Professional		$8,507.68	$9,103.01	$11,780.36
United Facility/Professional Professional Modifier Low / Median / High Price $4,699.85 / $7,079.68 / $8,966.71	Professional		$4,699.85	$7,079.68	$8,966.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,434.67 / $3,434.67 / $9,103.01	Professional		$3,434.67	$3,434.67	$9,103.01