Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.51 / $407.92 / $17,930.00	Facility		$186.51	$407.92	$17,930.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $716.70 / $6,622.22 / $14,645.34	Facility		$716.70	$6,622.22	$14,645.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $130.88 / $246.59 / $1,802.15	Facility		$130.88	$246.59	$1,802.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $186.44 / $270.68 / $286.76	Facility		$186.44	$270.68	$286.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.35 / $189.35 / $666.23	Facility		$189.35	$189.35	$666.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00