Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.18 / $1,943.65 / $18,800.00	Facility		$878.18	$1,943.65	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,314.96 / $19,823.93 / $38,781.51	Facility		$2,314.96	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $127.09 / $223.29 / $223.29	Facility	AS	$127.09	$223.29	$223.29
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 $593.30 / $1,116.65 / $6,240.53	Facility		$593.30	$1,116.65	$6,240.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $824.79 / $1,281.18 / $1,351.39	Facility		$824.79	$1,281.18	$1,351.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.75 / $921.77 / $6,526.97	Facility		$898.75	$921.77	$6,526.97
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