Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,215.07 / $7,298.21 / $7,619.72	Facility		$3,215.07	$7,298.21	$7,619.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,367.13 / $3,215.07 / $7,619.72	Professional		$2,367.13	$3,215.07	$7,619.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,332.10 / $9,421.29 / $23,456.39	Facility		$4,332.10	$9,421.29	$23,456.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,487.90 / $4,304.22 / $26,401.10	Professional		$3,487.90	$4,304.22	$26,401.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $2,802.84	Professional		$2,382.41	$2,382.41	$2,802.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,543.23 / $4,947.38 / $12,842.81	Facility		$2,543.23	$4,947.38	$12,842.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,733.60 / $4,947.38 / $9,517.90	Professional		$2,733.60	$4,947.38	$9,517.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $4,700.05 / $4,947.38	Professional		$60.00	$4,700.05	$4,947.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,927.13 / $4,734.26 / $4,947.38	Facility		$3,927.13	$4,734.26	$4,947.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,452.64 / $4,947.38 / $4,947.38	Professional		$4,452.64	$4,947.38	$4,947.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,332.10 / $5,556.14 / $9,662.86	Facility		$4,332.10	$5,556.14	$9,662.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,709.00 / $4,831.43 / $4,831.43	Facility		$4,709.00	$4,831.43	$4,831.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,930.27 / $4,205.27 / $5,442.12	Professional		$3,930.27	$4,205.27	$5,442.12
United Facility/Professional Professional Modifier Low / Median / High Price $2,237.80 / $3,370.93 / $4,269.43	Professional		$2,237.80	$3,370.93	$4,269.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,694.05 / $4,205.27 / $4,205.27	Professional		$2,694.05	$4,205.27	$4,205.27