Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,668.65 / $9,095.84 / $26,172.16	Facility		$1,668.65	$9,095.84	$26,172.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $13,486.75 / $21,602.23	Facility		$2,800.00	$13,486.75	$21,602.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $724.51 / $1,279.44 / $1,279.44	Facility	AS	$724.51	$1,279.44	$1,279.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,076.00 / $1,258.00	Facility		$1,005.16	$1,076.00	$1,258.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,009.12 / $1,952.12 / $5,167.68	Facility		$1,009.12	$1,952.12	$5,167.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,307.81 / $1,765.59 / $1,850.54	Facility		$1,307.81	$1,765.59	$1,850.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,242.58 / $1,242.58 / $1,262.23	Facility		$1,242.58	$1,242.58	$1,262.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,351.48 / $31,278.54	Facility		$10,603.20	$16,351.48	$31,278.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $4,686.00 / $19,271.00	Facility		$1,900.00	$4,686.00	$19,271.00