Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.89 / $7,920.26 / $20,680.40	Facility		$1,106.89	$7,920.26	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,043.20 / $9,172.83 / $20,286.13	Facility		$3,043.20	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
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 $630.63 / $1,287.47 / $3,280.24	Facility		$630.63	$1,287.47	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $817.84 / $1,130.96 / $1,214.71	Facility		$817.84	$1,130.96	$1,214.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.45 / $828.54 / $2,961.46	Facility		$800.45	$828.54	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00