Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.97 / $812.27 / $10,122.46	Facility		$453.97	$812.27	$10,122.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,390.69 / $4,418.06	Facility		$55.00	$2,390.69	$4,418.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $517.36 / $1,059.06	Facility		$276.52	$517.36	$1,059.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $395.35 / $547.39 / $635.16	Facility		$395.35	$547.39	$635.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.35 / $552.13 / $929.09	Facility		$430.35	$552.13	$929.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$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