Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.30 / $936.29 / $14,464.32	Facility		$311.30	$936.29	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,298.89 / $4,418.06	Facility		$55.00	$2,298.89	$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 $252.50 / $578.70 / $1,373.43	Facility		$252.50	$578.70	$1,373.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $408.89 / $760.40 / $844.87	Facility		$408.89	$760.40	$844.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $587.54 / $874.44	Facility		$552.13	$587.54	$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 / $1,355.00 / $4,271.00	Facility		$650.00	$1,355.00	$4,271.00