Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.17 / $4,547.92 / $18,800.00	Facility		$889.17	$4,547.92	$18,800.00
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 $655.54 / $1,274.97 / $2,034.92	Facility		$655.54	$1,274.97	$2,034.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $852.11 / $1,167.81 / $1,325.26	Facility		$852.11	$1,167.81	$1,325.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $897.85 / $1,613.81	Facility		$537.44	$897.85	$1,613.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00