Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.59 / $6,470.00 / $20,680.40	Facility		$1,380.59	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,141.53 / $1,863.78 / $3,376.68	Facility		$1,141.53	$1,863.78	$3,376.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,342.11 / $1,765.45 / $1,865.95	Facility		$1,342.11	$1,765.45	$1,865.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,208.15 / $1,208.15 / $1,249.44	Facility		$1,208.15	$1,208.15	$1,249.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00