Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.39 / $2,874.07 / $18,711.00	Facility		$1,408.39	$2,874.07	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $218.87 / $387.54 / $387.54	Facility	AS	$218.87	$387.54	$387.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $996.80 / $1,826.41 / $2,892.28	Facility		$996.80	$1,826.41	$2,892.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,266.65 / $2,042.83 / $2,148.02	Facility		$1,266.65	$2,042.83	$2,148.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,428.76 / $2,961.46	Facility		$986.25	$1,428.76	$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