Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $276.48 / $14,464.32	Facility		$149.72	$276.48	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $1,058.36 / $2,159.90	Facility		$113.97	$1,058.36	$2,159.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.48 / $501.48 / $501.48	Facility		$501.48	$501.48	$501.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.23 / $200.67 / $348.38	Facility		$103.23	$200.67	$348.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.32 / $202.34 / $237.85	Facility		$146.32	$202.34	$237.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.81 / $154.93 / $305.72	Facility		$101.81	$154.93	$305.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
United Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $1,427.20 / $2,696.96	Facility		$546.00	$1,427.20	$2,696.96