Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.39 / $420.43 / $13,750.00	Facility		$169.39	$420.43	$13,750.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $567.35 / $1,107.58	Facility		$108.88	$567.35	$1,107.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $166.34 / $252.90	Facility		$166.34	$166.34	$252.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $129.82 / $232.23 / $444.18	Facility		$129.82	$232.23	$444.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.62 / $306.86 / $348.84	Facility		$157.62	$306.86	$348.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $232.39 / $237.18	Facility		$108.88	$232.39	$237.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
United Facility/Professional Facility Modifier Low / Median / High Price $531.29 / $710.68 / $1,367.56	Facility		$531.29	$710.68	$1,367.56