Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,181.98 / $7,144.00 / $27,982.24	Facility		$1,181.98	$7,144.00	$27,982.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,525.54 / $20,273.81 / $38,781.51	Facility		$9,525.54	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,568.14 / $2,608.31 / $2,608.31	Facility	AS	$1,568.14	$2,608.31	$2,608.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $11,491.42	Facility		$1,394.89	$1,698.13	$11,491.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $659.02 / $1,335.04 / $10,077.60	Facility		$659.02	$1,335.04	$10,077.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $874.65 / $1,197.29 / $1,293.09	Facility		$874.65	$1,197.29	$1,293.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.64 / $882.01 / $9,525.54	Facility		$851.64	$882.01	$9,525.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$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