Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.35 / $5,128.00 / $21,917.86	Facility		$1,009.35	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $762.28 / $18,220.34 / $35,644.43	Facility		$762.28	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $77.43 / $254.47 / $254.47	Facility	AS	$77.43	$254.47	$254.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $526.03 / $1,074.15 / $1,476.86	Facility		$526.03	$1,074.15	$1,476.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.87 / $1,047.21 / $1,117.56	Facility		$765.87	$1,047.21	$1,117.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.11 / $741.11 / $762.28	Facility		$741.11	$741.11	$762.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00