Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $1,661.38 / $13,330.69	Facility		$632.59	$1,661.38	$13,330.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $700.99 / $4,017.35 / $8,788.86	Facility		$700.99	$4,017.35	$8,788.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $424.91 / $814.37 / $1,473.95	Facility		$424.91	$814.37	$1,473.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $661.14 / $1,093.19 / $1,152.59	Facility		$661.14	$1,093.19	$1,152.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $767.84 / $775.07	Facility		$233.45	$767.84	$775.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,520.19 / $4,492.60 / $8,788.86	Facility		$2,520.19	$4,492.60	$8,788.86
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00