Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.39 / $12,619.36 / $25,612.66	Facility		$595.39	$12,619.36	$25,612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,925.20 / $18,633.84 / $36,049.15	Facility		$3,925.20	$18,633.84	$36,049.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $688.80 / $1,403.53 / $1,978.12	Facility		$688.80	$1,403.53	$1,978.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,011.36 / $1,389.58 / $1,469.31	Facility		$1,011.36	$1,389.58	$1,469.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.22 / $976.22 / $1,002.20	Facility		$976.22	$976.22	$1,002.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00