Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.37 / $5,116.62 / $17,100.00	Facility		$123.37	$5,116.62	$17,100.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $16,947.71	Facility		$5,089.03	$9,044.98	$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 $130.62 / $239.26 / $5,198.37	Facility		$130.62	$239.26	$5,198.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.82 / $205.69 / $213.73	Facility		$155.82	$205.69	$213.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $145.78 / $1,367.95	Facility		$140.88	$145.78	$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 $5,519.00 / $11,371.83 / $18,189.50	Facility		$5,519.00	$11,371.83	$18,189.50