Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,301.59 / $9,305.92 / $28,266.14	Facility		$2,301.59	$9,305.92	$28,266.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $13,152.00 / $27,770.10 / $55,801.25	Facility		$13,152.00	$27,770.10	$55,801.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,960.89 / $6,960.89 / $11,596.76	Facility		$6,960.89	$6,960.89	$11,596.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,563.06 / $2,897.38 / $12,028.17	Facility		$1,563.06	$2,897.38	$12,028.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,799.28 / $2,464.92 / $2,569.71	Facility		$1,799.28	$2,464.92	$2,569.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,685.16 / $1,722.43 / $4,000.25	Facility		$1,685.16	$1,722.43	$4,000.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,916.23 / $29,070.27 / $55,801.25	Facility		$18,916.23	$29,070.27	$55,801.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00