Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.01 / $901.34 / $20,680.40	Facility		$387.01	$901.34	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $421.74 / $4,576.84	Facility		$55.00	$421.74	$4,576.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $390.02 / $667.68 / $860.83	Facility		$390.02	$667.68	$860.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.33 / $583.67 / $634.49	Facility		$468.33	$583.67	$634.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.74 / $421.74 / $424.10	Facility		$421.74	$421.74	$424.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,671.75 / $2,671.75 / $3,365.99	Facility		$2,671.75	$2,671.75	$3,365.99
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00