Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,898.09 / $5,132.00 / $22,024.00	Facility		$1,898.09	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,098.09 / $18,633.84 / $35,644.43	Facility		$2,098.09	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $211.96 / $701.35 / $701.35	Facility	AS	$211.96	$701.35	$701.35
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 $1,416.70 / $2,889.39 / $4,097.91	Facility		$1,416.70	$2,889.39	$4,097.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,103.08 / $2,885.02 / $3,075.97	Facility		$2,103.08	$2,885.02	$3,075.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,030.80 / $2,030.80 / $2,098.09	Facility		$2,030.80	$2,030.80	$2,098.09
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