Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.64 / $5,128.00 / $18,800.00	Facility		$900.64	$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 $862.22 / $1,440.14 / $2,604.02	Facility		$862.22	$1,440.14	$2,604.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $961.87 / $1,323.25 / $1,423.75	Facility		$961.87	$1,323.25	$1,423.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.88 / $971.13 / $1,241.82	Facility		$504.88	$971.13	$1,241.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00