Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $657.66 / $14,464.32	Facility		$282.27	$657.66	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $360.57 / $1,868.90 / $3,814.01	Facility		$360.57	$1,868.90	$3,814.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $894.39	Facility		$500.00	$870.49	$894.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $201.82 / $375.49 / $688.71	Facility		$201.82	$375.49	$688.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $475.03 / $528.63	Facility		$308.20	$475.03	$528.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $233.45 / $360.57 / $700.99	Facility		$233.45	$360.57	$700.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00