Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.13 / $5,116.62 / $21,917.86	Facility		$1,044.13	$5,116.62	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $8,315.84	Facility		$1,877.15	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $865.65 / $1,749.73 / $7,292.72	Facility		$865.65	$1,749.73	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,137.78 / $1,553.06 / $1,656.91	Facility		$1,137.78	$1,553.06	$1,656.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.71 / $1,130.16 / $6,526.97	Facility		$1,096.71	$1,130.16	$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