Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,333.12 / $5,128.00 / $20,680.40	Facility		$1,333.12	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $779.05 / $1,577.28 / $7,292.72	Facility		$779.05	$1,577.28	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.12 / $1,383.36 / $1,479.36	Facility		$1,023.12	$1,383.36	$1,479.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.40 / $1,009.06 / $6,526.97	Facility		$974.40	$1,009.06	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,547.00 / $24,764.99 / $40,868.01	Facility		$5,547.00	$24,764.99	$40,868.01