Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,340.71 / $12,214.00 / $35,094.58	Facility		$1,340.71	$12,214.00	$35,094.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,964.99 / $20,273.81 / $38,781.51	Facility		$8,964.99	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,490.20 / $2,478.67 / $2,478.67	Facility	AS	$1,490.20	$2,478.67	$2,478.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,920.30	Facility		$714.97	$870.49	$10,920.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $752.11 / $1,537.50 / $9,576.74	Facility		$752.11	$1,537.50	$9,576.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,002.43 / $1,386.23 / $1,469.31	Facility		$1,002.43	$1,386.23	$1,469.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.78 / $1,002.20 / $8,964.99	Facility		$970.78	$1,002.20	$8,964.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$20,262.22	$38,781.51
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