Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.69 / $5,128.00 / $20,680.40	Facility		$1,683.69	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,140.30 / $2,092.29 / $5,463.26	Facility		$1,140.30	$2,092.29	$5,463.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,386.21 / $1,796.94 / $1,869.32	Facility		$1,386.21	$1,796.94	$1,869.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,228.54 / $1,261.32 / $2,173.03	Facility		$1,228.54	$1,261.32	$2,173.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,519.00 / $18,181.98 / $29,082.50	Facility		$5,519.00	$18,181.98	$29,082.50