Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $384.39 / $14,464.32	Facility		$182.30	$384.39	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $655.48 / $12,000.00	Facility		$197.06	$655.48	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.50 / $254.24 / $369.89	Facility		$187.50	$254.24	$369.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $211.19 / $279.68 / $295.80	Facility		$211.19	$279.68	$295.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.06 / $197.06 / $201.54	Facility		$197.06	$197.06	$201.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00