Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.73 / $2,447.92 / $14,464.32	Facility		$473.73	$2,447.92	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,718.33 / $13,248.98	Facility		$55.00	$6,718.33	$13,248.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $3,991.53	Facility		$500.00	$870.49	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $388.54 / $1,634.43 / $3,589.52	Facility		$388.54	$1,634.43	$3,589.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $2,200.86 / $2,457.52	Facility		$586.50	$2,200.86	$2,457.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.16 / $1,637.14 / $2,583.64	Facility		$1,481.16	$1,637.14	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00