Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,762.63 / $10,811.20 / $11,287.40	Facility		$4,762.63	$10,811.20	$11,287.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,692.08 / $4,762.63 / $11,287.40	Professional		$3,692.08	$4,762.63	$11,287.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,417.33 / $13,956.91 / $35,737.98	Facility		$6,417.33	$13,956.91	$35,737.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,067.09 / $6,417.33 / $46,448.37	Professional		$5,067.09	$6,417.33	$46,448.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,697.47 / $4,697.47 / $4,697.47	Facility		$4,697.47	$4,697.47	$4,697.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $4,697.47	Professional		$3,429.16	$3,429.16	$4,697.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,427.60 / $7,538.50 / $20,082.77	Facility		$4,427.60	$7,538.50	$20,082.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,432.47 / $7,538.50 / $14,933.89	Professional		$4,432.47	$7,538.50	$14,933.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,056.47 / $5,618.31 / $6,180.14	Professional		$5,056.47	$5,618.31	$6,180.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,595.90 / $7,211.09 / $7,384.16	Facility		$6,595.90	$7,211.09	$7,384.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $5,822.08 / $5,822.08 / $5,822.08	Professional		$5,822.08	$5,822.08	$5,822.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,417.33 / $8,230.56 / $14,314.02	Facility		$6,417.33	$8,230.56	$14,314.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,975.64 / $7,157.01 / $7,157.01	Facility		$6,975.64	$7,157.01	$7,157.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,822.08 / $6,229.46 / $8,061.66	Professional		$5,822.08	$6,229.46	$8,061.66
United Facility/Professional Professional Modifier Low / Median / High Price $3,511.00 / $4,896.89 / $6,698.53	Professional		$3,511.00	$4,896.89	$6,698.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,664.69 / $3,664.69 / $6,229.46	Professional		$3,664.69	$3,664.69	$6,229.46