Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.20 / $6,470.00 / $21,917.86	Facility		$1,216.20	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $965.64 / $6,622.22 / $14,645.34	Facility		$965.64	$6,622.22	$14,645.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $958.32 / $1,247.55 / $2,217.53	Facility		$958.32	$1,247.55	$2,217.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.68 / $1,382.98 / $1,605.99	Facility		$1,141.68	$1,382.98	$1,605.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $932.27 / $965.64	Facility		$932.27	$932.27	$965.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
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