Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,457.55 / $26,008.60 / $27,154.40	Facility		$11,457.55	$26,008.60	$27,154.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,443.00 / $11,457.55 / $27,154.40	Professional		$10,443.00	$11,457.55	$27,154.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,438.32 / $33,574.65 / $87,176.00	Facility		$15,438.32	$33,574.65	$87,176.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12,465.61 / $15,338.97 / $112,269.81	Professional		$12,465.61	$15,338.97	$112,269.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,736.82 / $11,736.82 / $11,736.82	Facility		$11,736.82	$11,736.82	$11,736.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,567.87 / $8,567.87 / $11,736.82	Professional		$8,567.87	$8,567.87	$11,736.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,702.51 / $18,221.86 / $48,313.41	Facility		$10,702.51	$18,221.86	$48,313.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,714.27 / $18,221.86 / $36,095.55	Professional		$10,714.27	$18,221.86	$36,095.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12,164.45 / $13,516.06 / $14,867.66	Professional		$12,164.45	$13,516.06	$14,867.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15,867.90 / $17,631.00 / $20,885.99	Facility		$15,867.90	$17,631.00	$20,885.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $14,006.28 / $14,006.28 / $14,006.28	Professional		$14,006.28	$14,006.28	$14,006.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,438.32 / $19,800.43 / $34,435.54	Facility		$15,438.32	$19,800.43	$34,435.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,781.45 / $17,217.77 / $17,217.77	Facility		$16,781.45	$17,217.77	$17,217.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14,006.28 / $14,986.35 / $19,394.09	Professional		$14,006.28	$14,986.35	$19,394.09
United Facility/Professional Professional Modifier Low / Median / High Price $8,486.39 / $12,786.39 / $16,190.92	Professional		$8,486.39	$12,786.39	$16,190.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,823.33 / $5,823.33 / $14,986.35	Professional		$5,823.33	$5,823.33	$14,986.35