Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.62 / $7,338.41 / $22,024.00	Facility		$1,610.62	$7,338.41	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,790.74 / $4,641.89 / $4,641.89	Facility	AS	$2,790.74	$4,641.89	$4,641.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $20,450.80	Facility		$1,005.16	$1,223.70	$20,450.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $919.42 / $1,879.90 / $17,934.66	Facility		$919.42	$1,879.90	$17,934.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,218.63 / $1,670.31 / $1,764.78	Facility		$1,218.63	$1,670.31	$1,764.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.40 / $1,203.74 / $18,552.11	Facility		$1,162.40	$1,203.74	$18,552.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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