Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.71 / $6,581.76 / $14,960.00	Facility		$425.71	$6,581.76	$14,960.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$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 $331.90 / $685.16 / $1,741.30	Facility		$331.90	$685.16	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.26 / $613.72 / $672.68	Facility		$445.26	$613.72	$672.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.50 / $458.83 / $1,613.81	Facility		$438.50	$458.83	$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