Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,315.71 / $21,146.70 / $22,078.30	Facility		$9,315.71	$21,146.70	$22,078.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,718.56 / $9,315.71 / $22,078.30	Professional		$8,718.56	$9,315.71	$22,078.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,552.33 / $27,298.32 / $74,662.03	Facility		$12,552.33	$27,298.32	$74,662.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10,464.62 / $12,544.94 / $95,185.18	Professional		$10,464.62	$12,544.94	$95,185.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $9,418.01 / $9,418.01	Facility		$9,418.01	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $9,418.01	Professional		$6,875.15	$6,875.15	$9,418.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9,019.01 / $15,243.11 / $39,281.87	Facility		$9,019.01	$15,243.11	$39,281.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,028.92 / $15,356.31 / $30,418.90	Professional		$9,028.92	$15,356.31	$30,418.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,890.46 / $10,989.41 / $12,088.35	Professional		$9,890.46	$10,989.41	$12,088.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,901.60 / $14,335.11 / $19,113.49	Facility		$12,901.60	$14,335.11	$19,113.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,552.33 / $16,099.01 / $27,998.28	Facility		$12,552.33	$16,099.01	$27,998.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,644.38 / $13,999.14 / $13,999.14	Facility		$13,644.38	$13,999.14	$13,999.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $11,387.99 / $12,184.84 / $15,768.62	Professional		$11,387.99	$12,184.84	$15,768.62
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $7,151.63 / $10,775.32 / $13,644.38	Professional		$7,151.63	$10,775.32	$13,644.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,220.70 / $5,220.70 / $12,184.84	Professional		$5,220.70	$5,220.70	$12,184.84