Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,317.01 / $5,128.00 / $21,917.86	Facility		$1,317.01	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,913.50 / $38,781.51	Facility		$6,400.95	$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 $773.68 / $1,565.33 / $7,292.72	Facility		$773.68	$1,565.33	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.29 / $1,369.63 / $1,451.22	Facility		$1,039.29	$1,369.63	$1,451.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $966.70 / $989.86 / $6,526.97	Facility		$966.70	$989.86	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $6,096.98 / $19,271.00	Facility		$3,028.00	$6,096.98	$19,271.00