Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.13 / $3,016.00 / $18,711.00	Facility		$1,061.13	$3,016.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $17,546.59	Facility		$3,478.12	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $885.16 / $1,775.42 / $3,280.24	Facility		$885.16	$1,775.42	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,162.32 / $1,607.33 / $1,685.72	Facility		$1,162.32	$1,607.33	$1,685.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,118.91 / $2,961.46	Facility		$986.25	$1,118.91	$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 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00