Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,234.86 / $18,693.09 / $19,516.59	Facility		$8,234.86	$18,693.09	$19,516.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,706.98 / $8,234.86 / $19,516.59	Professional		$7,706.98	$8,234.86	$19,516.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,095.94 / $24,131.02 / $62,341.20	Facility		$11,095.94	$24,131.02	$62,341.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $8,378.66 / $11,024.54 / $79,477.56	Professional		$8,378.66	$11,024.54	$79,477.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $8,121.18 / $8,121.18	Facility		$8,121.18	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $8,121.18	Professional		$5,928.46	$5,928.46	$8,121.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,530.70 / $12,822.38 / $34,270.31	Facility		$7,530.70	$12,822.38	$34,270.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,538.98 / $12,925.32 / $25,398.45	Professional		$7,538.98	$12,925.32	$25,398.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,742.93 / $9,714.37 / $10,685.80	Professional		$8,742.93	$9,714.37	$10,685.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,404.69 / $12,671.88 / $15,959.35	Facility		$11,404.69	$12,671.88	$15,959.35
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $10,066.70 / $10,066.70 / $12,671.88	Professional		$10,066.70	$10,066.70	$12,671.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,095.94 / $14,231.11 / $24,749.76	Facility		$11,095.94	$14,231.11	$24,749.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,061.29 / $12,374.88 / $12,374.88	Facility		$12,061.29	$12,374.88	$12,374.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10,066.70 / $10,771.10 / $13,939.07	Professional		$10,066.70	$10,771.10	$13,939.07
United Facility/Professional Professional Modifier Low / Median / High Price $5,971.46 / $8,566.82 / $11,392.76	Professional		$5,971.46	$8,566.82	$11,392.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,492.14 / $4,492.14 / $10,771.10	Professional		$4,492.14	$4,492.14	$10,771.10