Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.90 / $11,093.00 / $22,024.00	Facility		$831.90	$11,093.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $615.16 / $37,275.87 / $71,345.31	Facility		$615.16	$37,275.87	$71,345.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $22,558.75	Facility		$714.97	$870.49	$22,558.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $529.20 / $1,017.38 / $19,783.28	Facility		$529.20	$1,017.38	$19,783.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $542.19 / $803.76 / $913.21	Facility		$542.19	$803.76	$913.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $565.30 / $615.16 / $20,502.62	Facility		$565.30	$615.16	$20,502.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,489.22 / $37,297.19 / $71,345.31	Facility		$28,489.22	$37,297.19	$71,345.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,643.00 / $19,271.00	Facility		$2,853.00	$5,643.00	$19,271.00