Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.70 / $5,116.62 / $18,800.00	Facility		$817.70	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $613.36 / $15,369.61 / $31,278.54	Facility		$613.36	$15,369.61	$31,278.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $561.04 / $1,017.35 / $8,759.23	Facility		$561.04	$1,017.35	$8,759.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $664.58 / $864.06 / $925.29	Facility		$664.58	$864.06	$925.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.36 / $613.36 / $621.05	Facility		$613.36	$613.36	$621.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00