Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.55 / $8,369.76 / $23,686.89	Facility		$715.55	$8,369.76	$23,686.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $535.45 / $15,369.61 / $31,278.54	Facility		$535.45	$15,369.61	$31,278.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $492.72 / $888.51 / $11,508.16	Facility		$492.72	$888.51	$11,508.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $570.74 / $756.89 / $803.76	Facility		$570.74	$756.89	$803.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $535.45 / $535.45 / $543.37	Facility		$535.45	$535.45	$543.37
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