Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.51 / $5,116.62 / $18,800.00	Facility		$673.51	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,682.09 / $14,095.51 / $26,963.11	Facility		$7,682.09	$14,095.51	$26,963.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $441.61 / $768.48 / $7,931.04	Facility		$441.61	$768.48	$7,931.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.29 / $666.65 / $761.12	Facility		$500.29	$666.65	$761.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $519.15 / $1,964.09	Facility		$506.00	$519.15	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00