Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.22 / $5,128.00 / $20,680.40	Facility		$1,309.22	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $745.47 / $1,540.54 / $3,280.24	Facility		$745.47	$1,540.54	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $984.90 / $1,352.73 / $1,433.80	Facility		$984.90	$1,352.73	$1,433.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.49 / $977.98 / $2,961.46	Facility		$949.49	$977.98	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00