Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,375.96 / $25,823.40 / $26,961.00	Facility		$11,375.96	$25,823.40	$26,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,571.92 / $11,375.96 / $26,961.00	Professional		$10,571.92	$11,375.96	$26,961.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15,328.38 / $33,335.54 / $90,961.51	Facility		$15,328.38	$33,335.54	$90,961.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $12,778.97 / $15,229.73 / $114,114.63	Professional		$12,778.97	$15,229.73	$114,114.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $12,562.99 / $12,562.99	Facility		$12,562.99	$12,562.99	$12,562.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $9,170.98 / $12,562.99	Professional		$9,170.98	$9,170.98	$12,562.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11,013.73 / $18,614.41 / $47,969.36	Facility		$11,013.73	$18,614.41	$47,969.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11,025.83 / $18,752.61 / $37,146.47	Professional		$11,025.83	$18,752.61	$37,146.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $12,077.82 / $13,419.81 / $14,761.79	Professional		$12,077.82	$13,419.81	$14,761.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $15,754.90 / $17,505.43 / $21,143.84	Facility		$15,754.90	$17,505.43	$21,143.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $13,906.54 / $13,906.54 / $13,906.54	Professional		$13,906.54	$13,906.54	$13,906.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,328.38 / $19,659.41 / $34,190.30	Facility		$15,328.38	$19,659.41	$34,190.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,661.93 / $17,095.15 / $17,095.15	Facility		$16,661.93	$17,095.15	$17,095.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13,906.54 / $14,879.62 / $19,255.98	Professional		$13,906.54	$14,879.62	$19,255.98
United Facility/Professional Professional Modifier Low / Median / High Price $8,343.92 / $11,696.65 / $16,661.93	Professional		$8,343.92	$11,696.65	$16,661.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,551.90 / $6,551.90 / $14,879.62	Professional		$6,551.90	$6,551.90	$14,879.62