Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.72 / $5,128.00 / $20,680.40	Facility		$654.72	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $366.02 / $746.93 / $1,741.30	Facility		$366.02	$746.93	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $479.71 / $654.59 / $714.22	Facility		$479.71	$654.59	$714.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $469.76 / $487.16 / $1,613.81	Facility		$469.76	$487.16	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00