Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.33 / $6,470.00 / $22,024.00	Facility		$650.33	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,933.00 / $55,218.92 / $105,627.56	Facility		$11,933.00	$55,218.92	$105,627.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,945.02 / $31,945.02 / $31,945.02	Facility		$31,945.02	$31,945.02	$31,945.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $481.00 / $854.37 / $28,014.72	Facility		$481.00	$854.37	$28,014.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.62 / $675.19 / $727.60	Facility		$525.62	$675.19	$727.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.59 / $482.59 / $484.71	Facility		$482.59	$482.59	$484.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,105.83 / $55,218.92 / $105,627.56	Facility		$36,105.83	$55,218.92	$105,627.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,417.00	Facility		$3,340.00	$13,441.00	$26,417.00