Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.24 / $9,673.00 / $35,131.94	Facility		$864.24	$9,673.00	$35,131.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $643.46 / $55,187.36 / $105,627.56	Facility		$643.46	$55,187.36	$105,627.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,251.89 / $32,251.89 / $32,251.89	Facility		$32,251.89	$32,251.89	$32,251.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $641.34 / $1,158.92 / $56,043.92	Facility		$641.34	$1,158.92	$56,043.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $619.52 / $899.23 / $969.68	Facility		$619.52	$899.23	$969.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.46 / $643.46 / $645.98	Facility		$643.46	$643.46	$645.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40,292.37 / $54,951.14 / $105,627.56	Facility		$40,292.37	$54,951.14	$105,627.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00