Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,988.92 / $11,324.80 / $11,823.70	Facility		$4,988.92	$11,324.80	$11,823.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,983.83 / $4,988.92 / $11,823.70	Professional		$3,983.83	$4,988.92	$11,823.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,722.25 / $33,788.62 / $33,788.62	Facility		$6,722.25	$33,788.62	$33,788.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $4,300.34 / $8,060.85 / $56,228.03	Professional		$4,300.34	$8,060.85	$56,228.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,391.66 / $4,391.66 / $4,391.66	Facility		$4,391.66	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $4,391.66	Professional		$3,732.91	$3,732.91	$4,391.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,426.54 / $7,677.00 / $14,202.12	Facility		$4,426.54	$7,677.00	$14,202.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,929.00 / $8,096.28 / $14,914.03	Professional		$4,929.00	$8,096.28	$14,914.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $7,677.00 / $7,677.00	Professional		$60.00	$7,677.00	$7,677.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,909.30 / $7,677.00 / $8,444.70	Facility		$6,909.30	$7,677.00	$8,444.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,722.25 / $6,722.25 / $12,430.14	Facility		$6,722.25	$6,722.25	$12,430.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,604.21 / $8,444.70 / $8,444.70	Professional		$5,604.21	$8,444.70	$8,444.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,506.32 / $5,259.47 / $6,689.60	Professional		$3,506.32	$5,259.47	$6,689.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,300.34 / $6,525.45 / $6,525.45	Professional		$4,300.34	$6,525.45	$6,525.45