Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.95 / $4,455.00 / $18,800.00	Facility		$704.95	$4,455.00	$18,800.00
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 $384.54 / $791.48 / $3,280.24	Facility		$384.54	$791.48	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $520.87 / $712.88 / $773.85	Facility		$520.87	$712.88	$773.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.81 / $527.84 / $2,961.46	Facility		$507.81	$527.84	$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 $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00