Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,428.20 / $5,128.00 / $21,917.86	Facility		$1,428.20	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $872.74 / $1,792.29 / $7,292.72	Facility		$872.74	$1,792.29	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,157.47 / $1,575.84 / $1,683.71	Facility		$1,157.47	$1,575.84	$1,683.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.57 / $1,148.44 / $6,526.97	Facility		$1,112.57	$1,148.44	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00