Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,079.82 / $5,128.00 / $23,000.00	Facility		$2,079.82	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,332.98 / $44,238.76 / $90,281.73	Facility		$2,332.98	$44,238.76	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $234.35 / $776.74 / $776.74	Facility	AS	$234.35	$776.74	$776.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,583.17 / $3,269.15 / $4,579.43	Facility		$1,583.17	$3,269.15	$4,579.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,350.79 / $3,228.06 / $3,420.35	Facility		$2,350.79	$3,228.06	$3,420.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.27 / $2,332.98 / $24,524.93	Facility		$2,238.27	$2,332.98	$24,524.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,438.60 / $47,169.60 / $90,281.73	Facility		$34,438.60	$47,169.60	$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