Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.05 / $5,128.00 / $22,024.00	Facility		$1,106.05	$5,128.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.87 / $9,558.29 / $26,542.00	Facility		$2,010.87	$9,558.29	$26,542.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,991.53	Facility		$1,005.16	$1,223.70	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $669.00 / $1,264.84 / $3,651.07	Facility		$669.00	$1,264.84	$3,651.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.19 / $1,157.76 / $1,224.76	Facility		$848.19	$1,157.76	$1,224.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.29 / $1,460.91 / $2,583.64	Facility		$821.29	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,129.00 / $10,638.00	Facility		$1,300.00	$3,129.00	$10,638.00