Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,560.41 / $1,560.41 / $1,560.41	Professional		$1,560.41	$1,560.41	$1,560.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,175.06 / $1,563.38 / $3,024.53	Facility		$1,175.06	$1,563.38	$3,024.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.02 / $454.85 / $562.54	Professional		$250.02	$454.85	$562.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.14 / $1,416.73 / $2,576.51	Facility		$691.14	$1,416.73	$2,576.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $493.48 / $1,368.97 / $2,426.67	Facility		$493.48	$1,368.97	$2,426.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.63 / $1,335.00 / $79,999.20	Facility		$525.63	$1,335.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.29 / $544.29 / $544.29	Facility		$544.29	$544.29	$544.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,140.77 / $1,563.38 / $2,990.57	Facility		$1,140.77	$1,563.38	$2,990.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $250.02 / $250.02 / $562.54	Professional		$250.02	$250.02	$562.54