Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.72 / $5,128.00 / $20,680.40	Facility		$1,135.72	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,913.50 / $38,781.51	Facility		$5,555.68	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $641.71 / $1,315.84 / $6,675.67	Facility		$641.71	$1,315.84	$6,675.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.13 / $1,163.79 / $1,243.52	Facility		$851.13	$1,163.79	$1,243.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.10 / $848.19 / $10,182.09	Facility		$823.10	$848.19	$10,182.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
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