Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.92 / $1,315.36 / $14,464.32	Facility		$276.92	$1,315.36	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $855.96 / $1,504.79 / $2,557.48	Facility		$855.96	$1,504.79	$2,557.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $557.23 / $1,666.12	Facility		$223.00	$557.23	$1,666.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.77 / $1,083.39 / $1,254.91	Facility		$346.77	$1,083.39	$1,254.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.96 / $855.96 / $879.27	Facility		$855.96	$855.96	$879.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.56 / $1,934.75 / $3,703.07	Facility		$1,412.56	$1,934.75	$3,703.07
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,106.00 / $4,911.00	Facility		$648.00	$1,106.00	$4,911.00