Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.13 / $2,291.00 / $14,464.32	Facility		$225.13	$2,291.00	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $326.93 / $1,712.40 / $12,000.00	Facility		$326.93	$1,712.40	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $568.48 / $646.73	Facility		$388.19	$568.48	$646.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.44 / $357.42 / $586.32	Facility		$184.44	$357.42	$586.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $242.55 / $317.89 / $330.98	Facility		$242.55	$317.89	$330.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.53 / $222.56 / $368.87	Facility		$216.53	$222.56	$368.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,558.33 / $2,982.61	Facility		$1,011.08	$1,558.33	$2,982.61
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00