Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,086.23 / $5,132.00 / $22,024.00	Facility		$2,086.23	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,265.81 / $18,633.84 / $35,644.43	Facility		$2,265.81	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $231.02 / $756.76 / $756.76	Facility	AS	$231.02	$756.76	$756.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,591.10 / $3,269.04 / $4,559.71	Facility		$1,591.10	$3,269.04	$4,559.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,346.12 / $3,205.95 / $3,321.86	Facility		$2,346.12	$3,205.95	$3,321.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $2,212.00 / $2,265.81	Facility		$2,212.00	$2,212.00	$2,265.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,303.00 / $1,433.30 / $8,242.00	Facility		$1,303.00	$1,433.30	$8,242.00