Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.33 / $5,128.00 / $21,917.86	Facility		$1,410.33	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,554.63 / $11,500.00	Facility		$2,701.16	$4,554.63	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,985.59	Facility		$883.20	$1,075.31	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $806.25 / $1,490.07 / $2,072.19	Facility		$806.25	$1,490.07	$2,072.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,069.50 / $1,458.59 / $1,545.02	Facility		$1,069.50	$1,458.59	$1,545.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $1,016.53 / $1,613.81	Facility		$537.44	$1,016.53	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00