Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $767.74 / $5,116.62 / $18,800.00	Facility		$767.74	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$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 $519.96 / $952.83 / $5,967.13	Facility		$519.96	$952.83	$5,967.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $619.73 / $808.69 / $844.87	Facility		$619.73	$808.69	$844.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $557.19 / $576.28 / $1,470.05	Facility		$557.19	$576.28	$1,470.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$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