Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.81 / $2,206.76 / $10,809.00	Facility		$349.81	$2,206.76	$10,809.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,844.35 / $6,069.94	Facility		$55.00	$2,844.35	$6,069.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,677.65	Facility		$500.00	$870.49	$1,677.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $1,026.36 / $2,314.62	Facility		$276.02	$1,026.36	$2,314.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.55 / $1,631.61 / $1,749.37	Facility		$840.55	$1,631.61	$1,749.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.85 / $1,193.23 / $1,241.22	Facility		$790.85	$1,193.23	$1,241.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,352.57 / $4,594.55 / $8,788.86	Facility		$3,352.57	$4,594.55	$8,788.86
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