Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.47 / $5,116.62 / $18,800.00	Facility		$971.47	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22,222.60 / $36,378.16 / $71,752.60	Facility		$22,222.60	$36,378.16	$71,752.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,513.04 / $15,513.04 / $25,844.54	Facility		$15,513.04	$15,513.04	$25,844.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $656.18 / $1,201.97 / $25,754.14	Facility		$656.18	$1,201.97	$25,754.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.99 / $1,023.76 / $1,069.32	Facility		$759.99	$1,023.76	$1,069.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.13 / $729.37 / $10,036.07	Facility		$707.13	$729.37	$10,036.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,589.60 / $36,378.16 / $70,377.42	Facility		$23,589.60	$36,378.16	$70,377.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00