Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.00 / $3,925.18 / $18,711.00	Facility		$1,396.00	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,222.64 / $17,744.22 / $36,111.08	Facility		$7,222.64	$17,744.22	$36,111.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $7,318.13	Facility		$625.25	$761.81	$7,318.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,205.52 / $2,418.77 / $6,417.76	Facility		$1,205.52	$2,418.77	$6,417.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,593.04 / $2,094.35 / $2,215.44	Facility		$1,593.04	$2,094.35	$2,215.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,473.83 / $1,475.87 / $5,433.20	Facility		$1,473.83	$1,475.87	$5,433.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00