Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,464.44 / $28,294.30 / $29,540.70	Facility		$12,464.44	$28,294.30	$29,540.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11,326.76 / $12,464.44 / $29,540.70	Professional		$11,326.76	$12,464.44	$29,540.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,795.04 / $36,525.19 / $99,695.00	Facility		$16,795.04	$36,525.19	$99,695.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14,001.70 / $16,795.04 / $114,727.09	Professional		$14,001.70	$16,795.04	$114,727.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $13,847.37 / $13,847.37	Facility		$13,847.37	$13,847.37	$13,847.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $10,108.58 / $13,847.37	Professional		$10,108.58	$10,108.58	$13,847.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,067.51 / $20,395.41 / $52,559.23	Facility		$12,067.51	$20,395.41	$52,559.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,080.77 / $20,546.53 / $40,700.58	Professional		$12,080.77	$20,546.53	$40,700.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,233.46 / $14,703.85 / $16,174.23	Professional		$13,233.46	$14,703.85	$16,174.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,262.37 / $19,180.41 / $22,653.52	Facility		$17,262.37	$19,180.41	$22,653.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $15,237.15 / $15,237.15 / $15,237.15	Professional		$15,237.15	$15,237.15	$15,237.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,795.04 / $21,540.50 / $37,461.74	Facility		$16,795.04	$21,540.50	$37,461.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,256.20 / $18,730.87 / $18,730.87	Facility		$18,256.20	$18,730.87	$18,730.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15,237.15 / $16,303.35 / $21,098.45	Professional		$15,237.15	$16,303.35	$21,098.45
United Facility/Professional Professional Modifier Low / Median / High Price $9,568.90 / $14,417.39 / $18,256.20	Professional		$9,568.90	$14,417.39	$18,256.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,280.47 / $7,280.47 / $16,303.35	Professional		$7,280.47	$7,280.47	$16,303.35