Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.63 / $5,116.62 / $18,800.00	Facility		$603.63	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
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 $413.36 / $764.32 / $9,391.74	Facility		$413.36	$764.32	$9,391.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $504.21 / $648.00 / $682.04	Facility		$504.21	$648.00	$682.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $454.26 / $1,470.05	Facility		$440.77	$454.26	$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 $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00