Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,713.08 / $10,698.70 / $11,170.00	Facility		$4,713.08	$10,698.70	$11,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,475.13 / $4,713.08 / $11,170.00	Professional		$3,475.13	$4,713.08	$11,170.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,350.57 / $12,394.46 / $33,517.87	Facility		$6,350.57	$12,394.46	$33,517.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,076.77 / $6,350.57 / $42,902.39	Professional		$5,076.77	$6,350.57	$42,902.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $4,423.18	Facility		$4,423.18	$4,423.18	$4,423.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $4,423.18	Professional		$3,228.92	$3,228.92	$4,423.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,314.72 / $7,397.58 / $19,873.81	Facility		$4,314.72	$7,397.58	$19,873.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,558.55 / $7,487.78 / $13,793.59	Professional		$4,558.55	$7,487.78	$13,793.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,003.87 / $5,559.86 / $6,115.84	Professional		$5,003.87	$5,559.86	$6,115.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,527.28 / $7,082.55 / $7,645.29	Facility		$6,527.28	$7,082.55	$7,645.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,020.17 / $6,350.57 / $13,810.97	Facility		$6,020.17	$6,350.57	$13,810.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,020.17 / $6,557.92 / $8,144.93	Professional		$6,020.17	$6,557.92	$8,144.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,903.07 / $7,082.55 / $7,082.55	Facility		$6,903.07	$7,082.55	$7,082.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,761.51 / $6,164.65 / $7,977.78	Professional		$5,761.51	$6,164.65	$7,977.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,242.96 / $4,885.06 / $6,187.14	Professional		$3,242.96	$4,885.06	$6,187.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,331.41 / $2,331.41 / $6,164.65	Professional		$2,331.41	$2,331.41	$6,164.65