Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,499.86 / $5,132.00 / $22,024.00	Facility		$1,499.86	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,629.66 / $17,514.91 / $35,644.43	Facility		$1,629.66	$17,514.91	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $165.82 / $543.30 / $543.30	Facility	AS	$165.82	$543.30	$543.30
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 $1,129.80 / $2,325.71 / $3,237.98	Facility		$1,129.80	$2,325.71	$3,237.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,640.03 / $2,267.94 / $2,389.21	Facility		$1,640.03	$2,267.94	$2,389.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.59 / $1,629.66 / $10,581.24	Facility		$1,584.59	$1,629.66	$10,581.24
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