Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.05 / $6,470.00 / $18,711.00	Facility		$1,041.05	$6,470.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$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 $596.82 / $1,209.96 / $1,971.88	Facility		$596.82	$1,209.96	$1,971.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $787.80 / $1,132.49 / $1,275.68	Facility		$787.80	$1,132.49	$1,275.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $859.34 / $1,613.81	Facility		$537.44	$859.34	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00