Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,483.88 / $52,812.50 / $101,024.36	Facility		$1,483.88	$52,812.50	$101,024.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $4,554.58 / $7,575.71 / $7,575.71	Facility	AS	$4,554.58	$7,575.71	$7,575.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $33,376.35	Facility		$714.97	$870.49	$33,376.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,039.68 / $2,106.71 / $29,269.94	Facility		$1,039.68	$2,106.71	$29,269.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,428.68 / $1,927.20 / $2,175.48	Facility		$1,428.68	$1,927.20	$2,175.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.07 / $1,483.88 / $28,105.46	Facility		$1,445.07	$1,483.88	$28,105.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40,340.49 / $52,812.50 / $101,024.36	Facility		$40,340.49	$52,812.50	$101,024.36
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