Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.50 / $7,473.98 / $35,587.08	Facility		$1,104.50	$7,473.98	$35,587.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,912.44 / $19,823.93 / $38,781.51	Facility		$2,912.44	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $160.04 / $283.69 / $283.69	Facility	AS	$160.04	$283.69	$283.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $11,952.76	Facility		$883.20	$1,075.31	$11,952.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $759.25 / $1,410.83 / $8,053.22	Facility		$759.25	$1,410.83	$8,053.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.80 / $1,602.13 / $1,679.56	Facility		$1,000.80	$1,602.13	$1,679.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.66 / $1,135.19 / $9,796.95	Facility		$1,111.66	$1,135.19	$9,796.95
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