Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.58 / $1,637.63 / $14,464.32	Facility		$776.58	$1,637.63	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,978.80 / $9,172.83 / $17,546.59	Facility		$1,978.80	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $109.61 / $194.23 / $194.23	Facility	AS	$109.61	$194.23	$194.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $507.15 / $947.87 / $2,806.97	Facility		$507.15	$947.87	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $739.68 / $1,161.10 / $1,232.80	Facility		$739.68	$1,161.10	$1,232.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.27 / $840.88 / $2,961.46	Facility		$826.27	$840.88	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00