Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.76 / $8,878.56 / $18,711.00	Facility		$934.76	$8,878.56	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,450.22 / $9,167.59 / $17,907.41	Facility		$3,450.22	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $694.69 / $1,424.98 / $3,280.24	Facility		$694.69	$1,424.98	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $927.57 / $1,254.24 / $1,425.76	Facility		$927.57	$1,254.24	$1,425.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.27 / $972.50 / $2,961.46	Facility		$961.27	$972.50	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00