Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,116.62 / $23,000.00	Facility		$1,733.00	$5,116.62	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,529.58 / $35,815.01 / $70,064.83	Facility		$1,529.58	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $156.63 / $511.97 / $511.97	Facility	AS	$156.63	$511.97	$511.97
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 $1,085.82 / $2,214.56 / $3,041.60	Facility		$1,085.82	$2,214.56	$3,041.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,566.04 / $2,138.64 / $2,242.48	Facility		$1,566.04	$2,138.64	$2,242.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.65 / $1,487.65 / $1,529.58	Facility		$1,487.65	$1,487.65	$1,529.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $20,432.00	Facility		$3,028.00	$5,547.00	$20,432.00