Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $23,000.00	Facility		$1,733.00	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $43,937.27 / $90,281.73	Facility		$5,000.00	$43,937.27	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,137.36 / $3,781.71 / $3,781.71	Facility	62	$1,137.36	$3,781.71	$3,781.71
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $181.98 / $605.07 / $605.07	Facility	AS	$181.98	$605.07	$605.07
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 $1,228.22 / $2,492.02 / $3,552.72	Facility		$1,228.22	$2,492.02	$3,552.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,834.07 / $2,498.42 / $2,659.90	Facility		$1,834.07	$2,498.42	$2,659.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,748.58 / $1,814.29 / $24,524.93	Facility		$1,748.58	$1,814.29	$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