Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.32 / $6,470.00 / $19,637.13	Facility		$921.32	$6,470.00	$19,637.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,044.43 / $20,273.81 / $38,781.51	Facility		$9,044.43	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,551.98 / $2,581.44 / $2,581.44	Facility	AS	$1,551.98	$2,581.44	$2,581.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,373.04	Facility		$714.97	$870.49	$11,373.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $745.50 / $1,485.47 / $9,973.78	Facility		$745.50	$1,485.47	$9,973.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,002.05 / $1,299.13 / $1,380.87	Facility		$1,002.05	$1,299.13	$1,380.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.53 / $941.88 / $9,044.43	Facility		$910.53	$941.88	$9,044.43
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