Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,091.75 / $2,211.71 / $18,711.00	Facility		$1,091.75	$2,211.71	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.76 / $18,873.74 / $38,781.51	Facility		$2,897.76	$18,873.74	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $159.78 / $284.14 / $284.14	Facility	AS	$159.78	$284.14	$284.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.83 / $1,357.51 / $6,240.53	Facility		$722.83	$1,357.51	$6,240.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,062.21 / $1,559.09 / $1,668.97	Facility		$1,062.21	$1,559.09	$1,668.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.40 / $1,138.39 / $6,526.97	Facility		$1,109.40	$1,138.39	$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 / $6,096.98 / $19,271.00	Facility		$3,028.00	$6,096.98	$19,271.00