Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.34 / $4,500.00 / $18,800.00	Facility		$512.34	$4,500.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,314.34 / $14,338.22	Facility		$55.00	$9,314.34	$14,338.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $4,443.08	Facility		$500.00	$870.49	$4,443.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $454.69 / $900.23 / $4,064.10	Facility		$454.69	$900.23	$4,064.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.62 / $724.45 / $752.76	Facility		$611.62	$724.45	$752.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.47 / $1,107.43 / $2,328.38	Facility		$501.47	$1,107.43	$2,328.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,037.75 / $10,846.90 / $20,760.75	Facility		$7,037.75	$10,846.90	$20,760.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00