Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.96 / $5,132.00 / $22,024.00	Facility		$1,614.96	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,207.39 / $20,262.22 / $38,781.51	Facility		$1,207.39	$20,262.22	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,501.36 / $2,497.23 / $2,497.23	Facility	AS	$1,501.36	$2,497.23	$2,497.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $11,002.09	Facility		$2,000.00	$2,285.42	$11,002.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $932.51 / $1,914.01 / $9,648.45	Facility		$932.51	$1,914.01	$9,648.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,233.82 / $1,685.05 / $1,770.14	Facility		$1,233.82	$1,685.05	$1,770.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,177.34 / $1,207.39 / $9,432.14	Facility		$1,177.34	$1,207.39	$9,432.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
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