Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,291.00 / $18,711.00	Facility		$521.00	$2,291.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,133.60 / $4,418.06	Facility		$55.00	$3,133.60	$4,418.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,499.24	Facility		$500.00	$870.49	$1,499.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $372.12 / $734.65 / $2,882.99	Facility		$372.12	$734.65	$2,882.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.96 / $582.37 / $601.12	Facility		$442.96	$582.37	$601.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.26 / $420.93 / $874.44	Facility		$402.26	$420.93	$874.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,344.18 / $6,397.05	Facility		$2,298.89	$3,344.18	$6,397.05
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