Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.33 / $5,128.00 / $20,680.40	Facility		$783.33	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $421.51 / $872.82 / $3,280.24	Facility		$421.51	$872.82	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $553.78 / $801.04 / $949.39	Facility		$553.78	$801.04	$949.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $638.28 / $647.57 / $2,961.46	Facility		$638.28	$647.57	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
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