Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,616.64 / $5,128.00 / $18,800.00	Facility		$1,616.64	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,409.54 / $5,750.27 / $14,156.69	Facility		$3,409.54	$5,750.27	$14,156.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,315.02 / $1,315.02 / $2,190.81	Facility		$1,315.02	$1,315.02	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,075.84 / $1,793.31 / $4,809.85	Facility		$1,075.84	$1,793.31	$4,809.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,248.56 / $1,695.77 / $1,809.67	Facility		$1,248.56	$1,695.77	$1,809.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $848.85 / $1,194.56 / $1,234.35	Facility		$848.85	$1,194.56	$1,234.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00