Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,884.26 / $17,897.30 / $18,685.70	Facility		$7,884.26	$17,897.30	$18,685.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,020.40 / $7,884.26 / $18,685.70	Professional		$7,020.40	$7,884.26	$18,685.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,623.54 / $23,103.66 / $54,846.88	Facility		$10,623.54	$23,103.66	$54,846.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,379.30 / $10,344.85 / $69,923.17	Professional		$7,379.30	$10,344.85	$69,923.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $8,136.27 / $8,136.27	Facility		$8,136.27	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $8,136.27	Professional		$5,939.48	$5,939.48	$8,136.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,625.25 / $12,132.38 / $30,150.93	Facility		$6,625.25	$12,132.38	$30,150.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,632.53 / $12,130.67 / $22,345.81	Professional		$6,632.53	$12,130.67	$22,345.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,370.70 / $9,300.78 / $10,230.85	Professional		$8,370.70	$9,300.78	$10,230.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,919.14 / $12,132.38 / $14,040.80	Facility		$10,919.14	$12,132.38	$14,040.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $9,638.11 / $9,638.11 / $9,638.11	Professional		$9,638.11	$9,638.11	$9,638.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,623.54 / $13,625.23 / $23,696.06	Facility		$10,623.54	$13,625.23	$23,696.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,547.79 / $11,848.03 / $11,848.03	Facility		$11,547.79	$11,848.03	$11,848.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $9,638.11 / $10,312.52 / $13,345.62	Professional		$9,638.11	$10,312.52	$13,345.62
United Facility/Professional Professional Modifier Low / Median / High Price $5,253.60 / $7,880.40 / $10,023.18	Professional		$5,253.60	$7,880.40	$10,023.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,887.43 / $3,887.43 / $10,312.52	Professional		$3,887.43	$3,887.43	$10,312.52