Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $17,347.02 / $35,644.43	Facility		$2,000.00	$17,347.02	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $139.44 / $456.72 / $456.72	Facility	AS	$139.44	$456.72	$456.72
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 $959.01 / $1,964.51 / $2,735.83	Facility		$959.01	$1,964.51	$2,735.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,392.45 / $1,925.58 / $2,009.33	Facility		$1,392.45	$1,925.58	$2,009.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.16 / $1,370.54 / $10,581.24	Facility		$1,338.16	$1,370.54	$10,581.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,596.82 / $18,623.18 / $35,644.43	Facility		$13,596.82	$18,623.18	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00