Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,587.05 / $5,842.90 / $20,680.40	Facility		$2,587.05	$5,842.90	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,810.55 / $18,220.34 / $35,644.43	Facility		$2,810.55	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $286.57 / $938.87 / $938.87	Facility	AS	$286.57	$938.87	$938.87
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 $1,838.61 / $3,410.32 / $5,668.04	Facility		$1,838.61	$3,410.32	$5,668.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,438.92 / $3,975.24 / $4,120.50	Facility		$2,438.92	$3,975.24	$4,120.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,748.35 / $2,748.35 / $2,810.55	Facility		$2,748.35	$2,748.35	$2,810.55
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00