Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,637.06 / $15,066.10 / $15,729.80	Facility		$6,637.06	$15,066.10	$15,729.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,157.30 / $6,637.06 / $15,729.80	Professional		$5,157.30	$6,637.06	$15,729.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,681.19 / $44,565.35 / $44,565.35	Facility		$8,681.19	$44,565.35	$44,565.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $7,595.74 / $10,207.10 / $51,366.71	Professional		$7,595.74	$10,207.10	$51,366.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $4,834.71 / $5,687.89	Professional		$4,834.71	$4,834.71	$5,687.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7,236.02 / $10,924.05 / $19,093.50	Facility		$7,236.02	$10,924.05	$19,093.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,236.02 / $11,311.34 / $19,621.24	Professional		$7,236.02	$11,311.34	$19,621.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,702.51 / $10,072.85 / $11,234.49	Facility		$9,702.51	$10,072.85	$11,234.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $8,113.47 / $8,113.47 / $8,113.47	Professional		$8,113.47	$8,113.47	$8,113.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,477.73 / $8,943.01 / $16,536.56	Facility		$8,477.73	$8,943.01	$16,536.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,477.73 / $9,121.87 / $14,678.79	Professional		$8,477.73	$9,121.87	$14,678.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,455.61 / $11,234.49 / $11,234.49	Professional		$7,455.61	$11,234.49	$11,234.49
United Facility/Professional Professional Modifier Low / Median / High Price $4,541.22 / $7,124.41 / $8,664.07	Professional		$4,541.22	$7,124.41	$8,664.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4,857.64 / $8,681.19 / $8,681.19	Professional		$4,857.64	$8,681.19	$8,681.19