Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $18,800.00	Facility		$801.00	$5,128.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $677.69 / $8,854.69 / $16,947.71	Facility		$677.69	$8,854.69	$16,947.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $607.59 / $1,104.74 / $5,198.37	Facility		$607.59	$1,104.74	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $692.45 / $933.02 / $1,015.72	Facility		$692.45	$933.02	$1,015.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.69 / $692.81 / $1,367.95	Facility		$677.69	$692.81	$1,367.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
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