Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.35 / $5,116.62 / $23,000.00	Facility		$2,083.35	$5,116.62	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,292.77 / $44,362.53 / $90,281.73	Facility		$2,292.77	$44,362.53	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $232.00 / $764.78 / $764.78	Facility	AS	$232.00	$764.78	$764.78
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 $1,579.14 / $3,228.64 / $4,994.06	Facility		$1,579.14	$3,228.64	$4,994.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,350.04 / $3,213.17 / $3,361.39	Facility		$2,350.04	$3,213.17	$3,361.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,222.42 / $2,292.77 / $24,524.93	Facility		$2,222.42	$2,292.77	$24,524.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$90,281.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00