Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.39 / $5,128.00 / $18,711.00	Facility		$448.39	$5,128.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $326.16 / $9,388.90 / $18,898.13	Facility		$326.16	$9,388.90	$18,898.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.14 / $589.72 / $10,683.04	Facility		$331.14	$589.72	$10,683.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $485.42 / $491.64	Facility		$319.00	$485.42	$491.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.16 / $331.33 / $1,470.05	Facility		$326.16	$331.33	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$9,873.73	$18,898.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00