Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.07 / $831.48 / $17,100.00	Facility		$332.07	$831.48	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $841.48 / $4,538.57 / $11,742.64	Facility		$841.48	$4,538.57	$11,742.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $280.63 / $529.62 / $1,313.62	Facility		$280.63	$529.62	$1,313.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.52 / $635.55 / $727.05	Facility		$363.52	$635.55	$727.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.05 / $467.05 / $481.09	Facility		$467.05	$467.05	$481.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,943.06 / $4,535.97 / $8,681.78	Facility		$2,943.06	$4,535.97	$8,681.78
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00