Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.89 / $5,116.62 / $20,680.40	Facility		$778.89	$5,116.62	$20,680.40
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 $418.47 / $861.44 / $1,741.30	Facility		$418.47	$861.44	$1,741.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.39 / $800.36 / $943.36	Facility		$550.39	$800.36	$943.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $631.03 / $1,613.81	Facility		$537.44	$631.03	$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