Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.22 / $7,920.26 / $22,024.00	Facility		$1,369.22	$7,920.26	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,955.45 / $20,273.81 / $38,781.51	Facility		$8,955.45	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,492.85 / $2,483.07 / $2,483.07	Facility	AS	$1,492.85	$2,483.07	$2,483.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $10,939.68	Facility		$1,005.16	$1,223.70	$10,939.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $705.13 / $1,466.32 / $9,593.74	Facility		$705.13	$1,466.32	$9,593.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $973.14 / $1,336.65 / $1,526.93	Facility		$973.14	$1,336.65	$1,526.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.22 / $1,041.50 / $8,955.45	Facility		$1,029.22	$1,041.50	$8,955.45
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