Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.89 / $5,128.00 / $20,680.40	Facility		$1,106.89	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,096.00 / $9,172.83 / $20,286.13	Facility		$5,096.00	$9,172.83	$20,286.13
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 $689.91 / $1,387.60 / $3,280.24	Facility		$689.91	$1,387.60	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $911.40 / $1,179.85 / $1,257.41	Facility		$911.40	$1,179.85	$1,257.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.53 / $816.66 / $2,961.46	Facility		$804.53	$816.66	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$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