Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,642.61 / $9,879.27 / $49,612.63	Facility		$3,642.61	$9,879.27	$49,612.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,908.76 / $3,642.61 / $8,632.99	Professional		$2,908.76	$3,642.61	$8,632.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,021.92 / $26,749.15 / $26,749.15	Facility		$9,021.92	$26,749.15	$26,749.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $3,923.69 / $5,714.69 / $41,054.25	Professional		$3,923.69	$5,714.69	$41,054.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,536.46 / $4,536.46 / $4,536.46	Facility		$4,536.46	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $3,855.99 / $4,536.46	Professional		$3,855.99	$3,855.99	$4,536.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,232.22 / $5,605.27 / $10,370.08	Facility		$3,232.22	$5,605.27	$10,370.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,598.79 / $5,911.30 / $10,889.90	Professional		$3,598.79	$5,911.30	$10,889.90
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 $5,044.74 / $5,605.27 / $5,817.52	Facility		$5,044.74	$5,605.27	$5,817.52
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $4,452.89 / $4,452.89 / $4,452.89	Professional		$4,452.89	$4,452.89	$4,452.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,758.24 / $9,075.73 / $10,674.11	Facility		$8,758.24	$9,075.73	$10,674.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,950.21 / $5,473.90 / $9,870.10	Professional		$4,950.21	$5,473.90	$9,870.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,091.85 / $6,165.80 / $6,165.80	Professional		$4,091.85	$6,165.80	$6,165.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,560.09 / $3,840.14 / $4,884.32	Professional		$2,560.09	$3,840.14	$4,884.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,096.92 / $4,764.47 / $4,764.47	Professional		$3,096.92	$4,764.47	$4,764.47