Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.02 / $6,470.00 / $18,711.00	Facility		$841.02	$6,470.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $903.28 / $7,568.94 / $15,403.47	Facility		$903.28	$7,568.94	$15,403.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $826.14 / $1,490.98 / $6,008.05	Facility		$826.14	$1,490.98	$6,008.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $948.17 / $1,288.41 / $1,350.05	Facility		$948.17	$1,288.41	$1,350.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.28 / $920.86 / $1,048.55	Facility		$903.28	$920.86	$1,048.55
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 $5,519.00 / $10,236.34 / $16,373.27	Facility		$5,519.00	$10,236.34	$16,373.27