Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.39 / $1,603.40 / $20,680.40	Facility		$712.39	$1,603.40	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $755.60 / $8,490.57 / $17,279.07	Facility		$755.60	$8,490.57	$17,279.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $428.90 / $757.42 / $757.42	Facility	AS	$428.90	$757.42	$757.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $786.64 / $1,258.51 / $8,977.36	Facility		$786.64	$1,258.51	$8,977.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $873.97 / $1,052.02 / $1,134.24	Facility		$873.97	$1,052.02	$1,134.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.60 / $755.60 / $760.45	Facility		$755.60	$755.60	$760.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,255.42 / $9,027.82 / $17,279.07	Facility		$6,255.42	$9,027.82	$17,279.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00