Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.96 / $445.80 / $14,464.32	Facility		$103.96	$445.80	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $334.15 / $2,511.87 / $12,000.00	Facility		$334.15	$2,511.87	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,192.33	Facility		$466.83	$568.48	$1,192.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $81.43 / $166.47 / $906.41	Facility		$81.43	$166.47	$906.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $323.25 / $395.97	Facility		$120.52	$323.25	$395.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.08 / $416.80 / $666.60	Facility		$270.08	$416.80	$666.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,874.47 / $2,568.87 / $4,913.96	Facility		$1,874.47	$2,568.87	$4,913.96
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