Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $4,011.00 / $18,711.00	Facility		$1,733.00	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,397.96 / $17,466.05 / $35,644.43	Facility		$1,397.96	$17,466.05	$35,644.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $922.95 / $1,901.40 / $2,641.67	Facility		$922.95	$1,901.40	$2,641.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,349.95 / $1,846.52 / $2,049.53	Facility		$1,349.95	$1,846.52	$2,049.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,362.17 / $1,397.96 / $6,526.97	Facility		$1,362.17	$1,397.96	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00