Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.97 / $6,470.00 / $22,024.00	Facility		$1,178.97	$6,470.00	$22,024.00
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 $1,031.00 / $1,031.00 / $2,876.24	Facility		$1,031.00	$1,031.00	$2,876.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $948.53 / $1,452.18 / $2,522.36	Facility		$948.53	$1,452.18	$2,522.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,085.83 / $1,485.39 / $1,561.10	Facility		$1,085.83	$1,485.39	$1,561.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.76 / $1,028.76 / $1,064.81	Facility		$1,028.76	$1,028.76	$1,064.81
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 $653.00 / $7,870.48 / $13,047.65	Facility		$653.00	$7,870.48	$13,047.65