Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.71 / $3,925.18 / $18,711.00	Facility		$796.71	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $17,453.22	Facility		$5,308.60	$9,124.02	$17,453.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $568.26 / $980.49 / $6,447.65	Facility		$568.26	$980.49	$6,447.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.91 / $825.71 / $877.88	Facility		$627.91	$825.71	$877.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.39 / $584.96 / $1,140.42	Facility		$579.39	$584.96	$1,140.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00