Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.44 / $4,500.00 / $21,917.86	Facility		$1,364.44	$4,500.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,313.36 / $14,156.58	Facility		$55.00	$9,313.36	$14,156.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $958.75 / $2,015.07 / $3,001.87	Facility		$958.75	$2,015.07	$3,001.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,424.43 / $1,934.33 / $2,015.36	Facility		$1,424.43	$1,934.33	$2,015.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.85 / $1,350.85 / $1,374.66	Facility		$1,350.85	$1,350.85	$1,374.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,001.97 / $10,475.93 / $20,039.27	Facility		$8,001.97	$10,475.93	$20,039.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,937.00 / $10,638.00	Facility		$1,300.00	$2,937.00	$10,638.00