Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,143.50 / $11,093.00 / $22,124.20	Facility		$2,143.50	$11,093.00	$22,124.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $16,227.47 / $31,745.76	Facility		$2,000.00	$16,227.47	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,075.00 / $1,223.70	Facility		$1,005.16	$1,075.00	$1,223.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,276.29 / $2,576.83 / $6,991.96	Facility		$1,276.29	$2,576.83	$6,991.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,711.08 / $2,285.94 / $2,346.34	Facility		$1,711.08	$2,285.94	$2,346.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,553.34 / $1,598.59 / $6,923.23	Facility		$1,553.34	$1,598.59	$6,923.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00