Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.19 / $7,054.20 / $18,800.00	Facility		$1,077.19	$7,054.20	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
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 $629.28 / $1,284.93 / $3,280.24	Facility		$629.28	$1,284.93	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.21 / $1,126.27 / $1,179.86	Facility		$846.21	$1,126.27	$1,179.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.07 / $804.78 / $2,961.46	Facility		$780.07	$804.78	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00