Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.15 / $12,900.00 / $31,202.44	Facility		$945.15	$12,900.00	$31,202.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $27,396.88	Facility		$6,526.97	$19,913.50	$27,396.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $712.90 / $1,444.12 / $7,292.72	Facility		$712.90	$1,444.12	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $928.06 / $1,266.30 / $1,335.98	Facility		$928.06	$1,266.30	$1,335.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $885.62 / $911.26 / $6,526.97	Facility		$885.62	$911.26	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
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