Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.28 / $16,502.00 / $31,602.88	Facility		$1,656.28	$16,502.00	$31,602.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $16,351.48 / $31,278.54	Facility		$9,817.25	$16,351.48	$31,278.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,121.82 / $1,990.87 / $9,716.85	Facility		$1,121.82	$1,990.87	$9,716.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,284.89 / $1,723.24 / $1,821.73	Facility		$1,284.89	$1,723.24	$1,821.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.04 / $1,242.58 / $2,429.53	Facility		$1,214.04	$1,242.58	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00