Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,696.58 / $5,125.00 / $22,024.00	Facility		$1,696.58	$5,125.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,697.84 / $8,558.00 / $11,517.68	Facility		$1,697.84	$8,558.00	$11,517.68
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 $1,180.48 / $2,425.67 / $3,141.02	Facility		$1,180.48	$2,425.67	$3,141.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.21 / $2,400.77 / $2,510.48	Facility		$1,778.21	$2,400.77	$2,510.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,697.84 / $1,697.84 / $1,712.38	Facility		$1,697.84	$1,697.84	$1,712.38
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,254.00 / $4,332.00	Facility		$650.00	$1,254.00	$4,332.00