Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,145.87 / $23,031.10 / $24,045.70	Facility		$10,145.87	$23,031.10	$24,045.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,495.50 / $10,145.87 / $24,045.70	Professional		$9,495.50	$10,145.87	$24,045.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,670.91 / $29,730.97 / $75,302.32	Facility		$13,670.91	$29,730.97	$75,302.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $10,736.24 / $13,582.94 / $96,001.40	Professional		$10,736.24	$13,582.94	$96,001.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $9,907.40 / $9,907.40	Facility		$9,907.40	$9,907.40	$9,907.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $9,907.40	Professional		$7,232.40	$7,232.40	$9,907.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $9,096.36 / $15,612.57 / $41,396.25	Facility		$9,096.36	$15,612.57	$41,396.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,106.35 / $15,924.82 / $30,679.56	Professional		$9,106.35	$15,924.82	$30,679.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,771.84 / $11,968.72 / $13,165.59	Professional		$10,771.84	$11,968.72	$13,165.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,051.31 / $15,612.57 / $19,277.39	Facility		$14,051.31	$15,612.57	$19,277.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $12,402.82 / $12,402.82 / $12,402.82	Professional		$12,402.82	$12,402.82	$12,402.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,670.91 / $17,533.65 / $30,493.30	Facility		$13,670.91	$17,533.65	$30,493.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,860.28 / $15,246.65 / $15,246.65	Facility		$14,860.28	$15,246.65	$15,246.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12,402.82 / $13,270.68 / $17,173.83	Professional		$12,402.82	$13,270.68	$17,173.83
United Facility/Professional Professional Modifier Low / Median / High Price $7,212.96 / $10,865.31 / $13,761.39	Professional		$7,212.96	$10,865.31	$13,761.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,551.90 / $6,551.90 / $13,270.68	Professional		$6,551.90	$6,551.90	$13,270.68