Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.96 / $1,540.79 / $18,711.00	Facility		$787.96	$1,540.79	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,009.72 / $19,823.93 / $38,781.51	Facility		$2,009.72	$19,823.93	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,460.59	Facility		$714.97	$870.49	$11,460.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $511.82 / $951.57 / $7,721.62	Facility		$511.82	$951.57	$7,721.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.70 / $1,102.35 / $1,194.60	Facility		$790.70	$1,102.35	$1,194.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.60 / $814.83 / $8,589.37	Facility		$784.60	$814.83	$8,589.37
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00