Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.68 / $1,905.77 / $14,464.32	Facility		$873.68	$1,905.77	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,000.00	Facility		$1,795.87	$5,471.61	$12,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,190.81	Facility		$466.83	$568.48	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $592.88 / $1,088.78 / $1,890.46	Facility		$592.88	$1,088.78	$1,890.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $896.28 / $1,402.31 / $1,560.43	Facility		$896.28	$1,402.31	$1,560.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $1,064.34 / $1,795.87	Facility		$598.07	$1,064.34	$1,795.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00