Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,002.55 / $11,355.80 / $11,856.00	Facility		$5,002.55	$11,355.80	$11,856.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,830.47 / $5,002.55 / $11,856.00	Professional		$3,830.47	$5,002.55	$11,856.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,740.61 / $14,659.20 / $37,094.85	Facility		$6,740.61	$14,659.20	$37,094.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5,105.00 / $6,697.23 / $47,035.20	Professional		$5,105.00	$6,697.23	$47,035.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $4,938.58 / $4,938.58	Facility		$4,938.58	$4,938.58	$4,938.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $3,605.16 / $4,938.58	Professional		$3,605.16	$3,605.16	$4,938.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,483.57 / $7,697.96 / $20,404.68	Facility		$4,483.57	$7,697.96	$20,404.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,488.49 / $7,851.92 / $15,122.56	Professional		$4,488.49	$7,851.92	$15,122.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,311.18 / $5,901.32 / $6,491.45	Professional		$5,311.18	$5,901.32	$6,491.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,928.16 / $7,517.54 / $7,697.96	Facility		$6,928.16	$7,517.54	$7,697.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,740.61 / $8,645.17 / $15,035.08	Facility		$6,740.61	$8,645.17	$15,035.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,327.04 / $7,517.54 / $7,517.54	Facility		$7,327.04	$7,517.54	$7,517.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6,115.36 / $6,543.27 / $8,467.76	Professional		$6,115.36	$6,543.27	$8,467.76
United Facility/Professional Professional Modifier Low / Median / High Price $3,555.35 / $5,333.03 / $6,783.16	Professional		$3,555.35	$5,333.03	$6,783.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,664.69 / $3,664.69 / $6,543.27	Professional		$3,664.69	$3,664.69	$6,543.27