Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.49 / $7,489.85 / $14,960.00	Facility		$509.49	$7,489.85	$14,960.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,392.38 / $10,430.95	Facility		$55.00	$5,392.38	$10,430.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,046.84	Facility		$500.00	$870.49	$2,046.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $452.23 / $894.64 / $3,135.90	Facility		$452.23	$894.64	$3,135.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.27 / $720.45 / $748.01	Facility		$550.27	$720.45	$748.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.30 / $1,107.43 / $2,328.38	Facility		$498.30	$1,107.43	$2,328.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,236.78 / $5,815.71 / $10,527.13	Facility		$4,236.78	$5,815.71	$10,527.13
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00