Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.04 / $951.15 / $17,100.00	Facility		$328.04	$951.15	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $837.76 / $5,772.11 / $14,934.15	Facility		$837.76	$5,772.11	$14,934.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $286.67 / $546.94 / $1,828.65	Facility		$286.67	$546.94	$1,828.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $353.09 / $697.80 / $842.86	Facility		$353.09	$697.80	$842.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.91 / $579.84 / $839.66	Facility		$574.91	$579.84	$839.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$5,768.81	$11,041.39
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00