Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,214.71 / $14,107.40 / $14,728.90	Facility		$6,214.71	$14,107.40	$14,728.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,846.29 / $6,214.71 / $14,728.90	Professional		$4,846.29	$6,214.71	$14,728.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,373.93 / $18,211.28 / $46,975.22	Facility		$8,373.93	$18,211.28	$46,975.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,588.42 / $8,320.04 / $59,843.37	Professional		$6,588.42	$8,320.04	$59,843.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $6,553.03 / $6,553.03	Facility		$6,553.03	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $4,783.71 / $6,553.03	Professional		$4,783.71	$4,783.71	$6,553.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,704.79 / $9,712.98 / $25,961.25	Facility		$5,704.79	$9,712.98	$25,961.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,711.05 / $9,754.53 / $19,240.20	Professional		$5,711.05	$9,754.53	$19,240.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,598.14 / $7,331.27 / $8,064.39	Professional		$6,598.14	$7,331.27	$8,064.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,606.93 / $9,465.41 / $9,692.58	Facility		$8,606.93	$9,465.41	$9,692.58
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $7,597.17 / $7,597.17 / $7,597.17	Professional		$7,597.17	$7,597.17	$7,597.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,373.93 / $10,739.99 / $18,678.24	Facility		$8,373.93	$10,739.99	$18,678.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,102.45 / $9,339.12 / $9,339.12	Facility		$9,102.45	$9,339.12	$9,339.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,597.17 / $8,128.77 / $10,519.59	Professional		$7,597.17	$8,128.77	$10,519.59
United Facility/Professional Professional Modifier Low / Median / High Price $4,523.51 / $6,815.55 / $8,630.28	Professional		$4,523.51	$6,815.55	$8,630.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $5,539.38 / $8,128.77 / $8,128.77	Professional		$5,539.38	$8,128.77	$8,128.77