Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,836.92 / $12,757.68 / $29,300.00	Facility		$2,836.92	$12,757.68	$29,300.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,921.50 / $3,270.84 / $11,234.92	Facility		$1,921.50	$3,270.84	$11,234.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,093.28 / $2,816.01 / $3,038.24	Facility		$2,093.28	$2,816.01	$3,038.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,052.54 / $2,070.21 / $2,513.62	Facility		$2,052.54	$2,070.21	$2,513.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00