Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,658.75 / $5,128.00 / $21,917.86	Facility		$1,658.75	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,856.95 / $19,913.50 / $38,781.51	Facility		$8,856.95	$19,913.50	$38,781.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $943.59 / $1,962.99 / $7,292.72	Facility		$943.59	$1,962.99	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,278.41 / $1,720.56 / $1,831.78	Facility		$1,278.41	$1,720.56	$1,831.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,193.66 / $1,249.44 / $8,856.95	Facility		$1,193.66	$1,249.44	$8,856.95
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