Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,290.26 / $14,278.90 / $25,684.68	Facility		$6,290.26	$14,278.90	$25,684.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,001.77 / $6,290.26 / $14,907.90	Professional		$5,001.77	$6,290.26	$14,907.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,475.73 / $18,432.68 / $43,045.38	Facility		$8,475.73	$18,432.68	$43,045.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $6,962.55 / $9,775.93 / $72,317.92	Professional		$6,962.55	$9,775.93	$72,317.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,957.05 / $7,957.05 / $7,957.05	Facility		$7,957.05	$7,957.05	$7,957.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $7,957.05	Professional		$6,763.49	$6,763.49	$7,957.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,633.35 / $9,679.52 / $25,635.93	Facility		$5,633.35	$9,679.52	$25,635.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,639.54 / $9,873.11 / $18,999.40	Professional		$5,639.54	$9,873.11	$18,999.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,209.63 / $9,121.82 / $10,274.81	Professional		$8,209.63	$9,121.82	$10,274.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,711.57 / $9,679.52 / $10,003.53	Facility		$8,711.57	$9,679.52	$10,003.53
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $6,892.88 / $6,892.88 / $6,892.88	Professional		$6,892.88	$6,892.88	$6,892.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,475.73 / $10,870.56 / $18,905.32	Facility		$8,475.73	$10,870.56	$18,905.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,213.12 / $9,452.66 / $9,452.66	Facility		$9,213.12	$9,452.66	$9,452.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,066.05 / $10,647.47 / $10,647.47	Professional		$7,066.05	$10,647.47	$10,647.47
United Facility/Professional Facility Modifier Low / Median / High Price $11,938.27 / $14,325.92 / $14,325.92	Facility		$11,938.27	$14,325.92	$14,325.92
United Facility/Professional Professional Modifier Low / Median / High Price $4,466.89 / $6,700.36 / $8,522.27	Professional		$4,466.89	$6,700.36	$8,522.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,950.24 / $8,227.59 / $8,227.59	Professional		$7,950.24	$8,227.59	$8,227.59