Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $22,024.00	Facility		$1,733.00	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $19,914.00	Facility		$714.97	$870.49	$19,914.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,070.53 / $2,225.34 / $17,463.91	Facility		$1,070.53	$2,225.34	$17,463.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,427.86 / $1,949.03 / $2,058.91	Facility		$1,427.86	$1,949.03	$2,058.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.61 / $1,404.36 / $17,458.30	Facility		$1,367.61	$1,404.36	$17,458.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00