Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.43 / $7,556.33 / $27,982.24	Facility		$1,033.43	$7,556.33	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$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 $1,099.14 / $1,967.51 / $15,969.29	Facility		$1,099.14	$1,967.51	$15,969.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,233.28 / $1,678.35 / $1,782.96	Facility		$1,233.28	$1,678.35	$1,782.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,187.77 / $1,215.61 / $2,429.53	Facility		$1,187.77	$1,215.61	$2,429.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,931.42 / $16,342.14 / $31,278.54	Facility		$11,931.42	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $4,075.00 / $5,195.10 / $19,271.00	Facility		$4,075.00	$5,195.10	$19,271.00