Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.62 / $1,604.29 / $22,024.00	Facility		$749.62	$1,604.29	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $17,808.41	Facility		$2,218.36	$8,052.47	$17,808.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $2,846.84	Facility		$1,394.89	$1,698.13	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $491.59 / $923.23 / $2,136.38	Facility		$491.59	$923.23	$2,136.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $693.45 / $1,138.39 / $1,205.64	Facility		$693.45	$1,138.39	$1,205.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $808.61 / $2,218.36	Facility		$738.78	$808.61	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,539.53 / $10,522.00	Facility		$1,547.00	$2,539.53	$10,522.00