Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.04 / $5,116.62 / $18,800.00	Facility		$1,226.04	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$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 $685.12 / $1,415.14 / $3,280.24	Facility		$685.12	$1,415.14	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $895.72 / $1,227.44 / $1,388.91	Facility		$895.72	$1,227.44	$1,388.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.88 / $947.36 / $2,961.46	Facility		$940.88	$947.36	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
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