Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.89 / $3,925.18 / $18,711.00	Facility		$443.89	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $18,180.43 / $37,102.31	Facility		$11,296.15	$18,180.43	$37,102.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.94 / $3,448.94 / $5,745.89	Facility		$3,448.94	$3,448.94	$5,745.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $307.50 / $550.65 / $7,196.96	Facility		$307.50	$550.65	$7,196.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.63 / $471.38 / $493.12	Facility		$374.63	$471.38	$493.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.07 / $329.04 / $2,096.73	Facility		$327.07	$329.04	$2,096.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00