Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.10 / $5,116.62 / $22,024.00	Facility		$349.10	$5,116.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $342.55 / $646.54 / $7,292.72	Facility		$342.55	$646.54	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.06 / $529.14 / $630.77	Facility		$414.06	$529.14	$630.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.10 / $375.65 / $6,526.97	Facility		$370.10	$375.65	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00