Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.31 / $5,116.62 / $18,800.00	Facility		$922.31	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,351.50 / $5,471.61 / $12,100.72	Facility		$2,351.50	$5,471.61	$12,100.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $773.86 / $1,476.07 / $2,220.92	Facility		$773.86	$1,476.07	$2,220.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,028.47 / $1,405.66 / $1,466.63	Facility		$1,028.47	$1,405.66	$1,466.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $977.57 / $1,795.87	Facility		$598.07	$977.57	$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