Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.91 / $4,500.00 / $21,917.86	Facility		$1,602.91	$4,500.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,617.78 / $9,258.31 / $12,508.89	Facility		$1,617.78	$9,258.31	$12,508.89
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $164.33 / $539.07 / $539.07	Facility	AS	$164.33	$539.07	$539.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,118.48 / $2,342.54 / $3,520.31	Facility		$1,118.48	$2,342.54	$3,520.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,674.82 / $2,272.75 / $2,371.80	Facility		$1,674.82	$2,272.75	$2,371.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,481.16 / $1,617.78 / $2,583.64	Facility		$1,481.16	$1,617.78	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,232.39 / $9,468.42 / $18,112.00	Facility		$7,232.39	$9,468.42	$18,112.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00