Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.02 / $4,500.00 / $18,711.00	Facility		$299.02	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $322.99 / $3,855.60	Facility		$55.00	$322.99	$3,855.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $33.27 / $108.84 / $108.84	Facility	AS	$33.27	$108.84	$108.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $289.45 / $491.69 / $642.46	Facility		$289.45	$491.69	$642.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $340.60 / $458.70 / $482.12	Facility		$340.60	$458.70	$482.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.99 / $322.99 / $328.58	Facility		$322.99	$322.99	$328.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,837.43 / $3,837.43 / $4,834.57	Facility		$3,837.43	$3,837.43	$4,834.57
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00