Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,703.38 / $4,011.00 / $18,711.00	Facility		$1,703.38	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,285.08 / $17,466.05 / $35,644.43	Facility		$1,285.08	$17,466.05	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $132.22 / $433.26 / $433.26	Facility	AS	$132.22	$433.26	$433.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $876.68 / $1,766.09 / $2,535.86	Facility		$876.68	$1,766.09	$2,535.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,270.35 / $1,756.74 / $1,884.04	Facility		$1,270.35	$1,756.74	$1,884.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.13 / $1,285.08 / $6,526.97	Facility		$1,242.13	$1,285.08	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,596.82 / $18,633.84 / $35,644.43	Facility		$13,596.82	$18,633.84	$35,644.43
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