Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.79 / $8,150.53 / $18,711.00	Facility		$647.79	$8,150.53	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,077.09 / $15,573.20 / $29,789.77	Facility		$7,077.09	$15,573.20	$29,789.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.52 / $4,870.25 / $13,142.26	Facility		$575.52	$4,870.25	$13,142.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.40 / $7,648.87 / $10,282.49	Facility		$799.40	$7,648.87	$10,282.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,665.43 / $5,665.43 / $6,055.70	Facility		$5,665.43	$5,665.43	$6,055.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00