Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $647.37 / $1,395.54 / $17,100.00	Facility		$647.37	$1,395.54	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,636.60 / $9,172.83 / $17,546.59	Facility		$1,636.60	$9,172.83	$17,546.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $429.68 / $827.72 / $2,806.97	Facility		$429.68	$827.72	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $976.71 / $1,027.48	Facility		$607.91	$976.71	$1,027.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.48 / $692.81 / $2,961.46	Facility		$684.48	$692.81	$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