Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,899.37 / $15,661.60 / $16,351.50	Facility		$6,899.37	$15,661.60	$16,351.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,457.10 / $6,899.37 / $16,351.50	Professional		$6,457.10	$6,899.37	$16,351.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,296.45 / $21,561.83 / $56,471.55	Facility		$9,296.45	$21,561.83	$56,471.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,431.77 / $9,296.45 / $69,145.86	Professional		$7,431.77	$9,296.45	$69,145.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $8,302.44 / $8,302.44	Facility		$8,302.44	$8,302.44	$8,302.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,060.78 / $6,060.78 / $8,302.44	Professional		$6,060.78	$6,060.78	$8,302.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,679.85 / $11,289.68 / $29,092.73	Facility		$6,679.85	$11,289.68	$29,092.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,687.19 / $11,372.73 / $22,527.86	Professional		$6,687.19	$11,372.73	$22,527.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,325.03 / $8,138.93 / $8,952.82	Professional		$7,325.03	$8,138.93	$8,952.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,555.12 / $10,616.81 / $13,884.71	Facility		$9,555.12	$10,616.81	$13,884.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,296.45 / $11,923.18 / $20,735.96	Facility		$9,296.45	$11,923.18	$20,735.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,105.24 / $10,367.98 / $10,367.98	Facility		$10,105.24	$10,367.98	$10,367.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,434.12 / $9,024.29 / $11,678.49	Professional		$8,434.12	$9,024.29	$11,678.49
United Facility/Professional Professional Modifier Low / Median / High Price $5,296.61 / $7,980.36 / $10,105.24	Professional		$5,296.61	$7,980.36	$10,105.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,753.82 / $6,753.82 / $9,024.29	Professional		$6,753.82	$6,753.82	$9,024.29