Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.10 / $6,470.00 / $21,917.86	Facility		$1,069.10	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,876.24	Facility		$906.00	$906.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $848.50 / $1,414.63 / $2,522.36	Facility		$848.50	$1,414.63	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $970.56 / $1,345.36 / $1,412.36	Facility		$970.56	$1,345.36	$1,412.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.46 / $930.46 / $963.36	Facility		$930.46	$930.46	$963.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00