Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,209.42 / $16,365.40 / $17,086.30	Facility		$7,209.42	$16,365.40	$17,086.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,747.28 / $7,209.42 / $17,086.30	Professional		$6,747.28	$7,209.42	$17,086.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,714.24 / $22,679.61 / $58,756.37	Facility		$9,714.24	$22,679.61	$58,756.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,765.76 / $9,714.24 / $72,157.73	Professional		$7,765.76	$9,714.24	$72,157.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,732.85 / $8,732.85 / $8,732.85	Facility		$8,732.85	$8,732.85	$8,732.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,374.98 / $6,374.98 / $8,732.85	Professional		$6,374.98	$6,374.98	$8,732.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $6,979.70 / $11,796.46 / $30,400.19	Facility		$6,979.70	$11,796.46	$30,400.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,987.37 / $11,884.07 / $23,540.72	Professional		$6,987.37	$11,884.07	$23,540.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,654.23 / $8,504.70 / $9,355.17	Professional		$7,654.23	$8,504.70	$9,355.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,984.54 / $11,093.94 / $14,225.90	Facility		$9,984.54	$11,093.94	$14,225.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,714.24 / $12,459.01 / $21,667.84	Facility		$9,714.24	$12,459.01	$21,667.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,559.38 / $10,833.92 / $10,833.92	Facility		$10,559.38	$10,833.92	$10,833.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8,813.16 / $9,429.85 / $12,203.33	Professional		$8,813.16	$9,429.85	$12,203.33
United Facility/Professional Facility Modifier Low / Median / High Price $5,544.86 / $5,544.86 / $5,544.86	Facility		$5,544.86	$5,544.86	$5,544.86
United Facility/Professional Professional Modifier Low / Median / High Price $5,534.64 / $8,301.95 / $10,559.38	Professional		$5,534.64	$8,301.95	$10,559.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6,777.58 / $9,429.85 / $9,429.85	Professional		$6,777.58	$9,429.85	$9,429.85