Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,508.71 / $5,116.62 / $21,917.86	Facility		$1,508.71	$5,116.62	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.41 / $34,428.37 / $70,064.83	Facility		$1,143.41	$34,428.37	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.33 / $381.64 / $381.64	Facility	AS	$115.33	$381.64	$381.64
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 $776.24 / $1,597.40 / $2,245.33	Facility		$776.24	$1,597.40	$2,245.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,155.91 / $1,580.53 / $1,676.34	Facility		$1,155.91	$1,580.53	$1,676.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.68 / $1,143.41 / $13,091.98	Facility		$1,106.68	$1,143.41	$13,091.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
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