Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,805.28 / $6,367.99 / $6,648.51	Facility		$2,805.28	$6,367.99	$6,648.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,235.63 / $2,805.28 / $6,648.51	Professional		$2,235.63	$2,805.28	$6,648.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,779.93 / $8,220.44 / $20,671.75	Facility		$3,779.93	$8,220.44	$20,671.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,151.25 / $3,777.70 / $22,266.87	Professional		$3,151.25	$3,777.70	$22,266.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Facility		$3,060.59	$3,060.59	$3,060.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $3,060.59	Professional		$2,234.23	$2,234.23	$3,060.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,485.66 / $4,316.78 / $11,311.87	Facility		$2,485.66	$4,316.78	$11,311.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,488.39 / $4,368.76 / $8,384.23	Professional		$2,488.39	$4,368.76	$8,384.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $4,316.78 / $4,316.78	Professional		$60.00	$4,316.78	$4,316.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,426.56 / $4,215.60 / $4,471.26	Facility		$3,426.56	$4,215.60	$4,471.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,100.93 / $4,316.78 / $4,471.26	Professional		$4,100.93	$4,316.78	$4,471.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,779.93 / $4,847.95 / $8,431.21	Facility		$3,779.93	$4,847.95	$8,431.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,108.78 / $4,215.60 / $4,215.60	Facility		$4,108.78	$4,215.60	$4,215.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,429.31 / $3,669.26 / $4,748.46	Professional		$3,429.31	$3,669.26	$4,748.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,889.95 / $2,884.35 / $3,760.61	Professional		$1,889.95	$2,884.35	$3,760.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,699.26 / $3,669.26 / $3,669.26	Professional		$2,699.26	$3,669.26	$3,669.26