Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.23 / $5,128.00 / $18,800.00	Facility		$811.23	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,846.84	Facility		$644.92	$1,110.00	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $756.62 / $1,263.76 / $2,496.58	Facility		$756.62	$1,263.76	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $835.29 / $1,193.27 / $1,276.34	Facility		$835.29	$1,193.27	$1,276.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $863.42 / $870.59 / $1,241.82	Facility		$863.42	$870.59	$1,241.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00