Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.43 / $5,128.00 / $22,024.00	Facility		$1,352.43	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,160.00 / $22,189.40 / $38,538.61	Facility		$10,160.00	$22,189.40	$38,538.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,076.00 / $1,258.00	Facility		$1,005.16	$1,076.00	$1,258.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,131.59 / $2,231.84 / $9,096.45	Facility		$1,131.59	$2,231.84	$9,096.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,508.27 / $2,034.54 / $2,133.28	Facility		$1,508.27	$2,034.54	$2,133.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.40 / $1,427.40 / $1,455.09	Facility		$1,427.40	$1,427.40	$1,455.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,154.55 / $55,801.25	Facility		$18,916.23	$29,154.55	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00