Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.35 / $1,531.44 / $17,967.00	Facility		$665.35	$1,531.44	$17,967.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,700.64 / $5,468.48 / $11,500.00	Facility		$1,700.64	$5,468.48	$11,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $2,190.81	Facility		$883.20	$1,075.31	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $434.16 / $821.86 / $1,680.93	Facility		$434.16	$821.86	$1,680.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $639.24 / $998.22 / $1,063.29	Facility		$639.24	$998.22	$1,063.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $703.06 / $1,795.87	Facility		$598.07	$703.06	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
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