Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,171.60 / $2,233.01 / $20,680.40	Facility		$1,171.60	$2,233.01	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,545.36 / $7,990.00	Facility		$55.00	$2,545.36	$7,990.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $120.02 / $393.29 / $393.29	Facility	AS	$120.02	$393.29	$393.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $819.64 / $1,669.35 / $2,172.90	Facility		$819.64	$1,669.35	$2,172.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,227.94 / $1,660.42 / $1,732.62	Facility		$1,227.94	$1,660.42	$1,732.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,161.95 / $1,195.26 / $2,776.76	Facility		$1,161.95	$1,195.26	$2,776.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,187.31 / $5,187.31 / $9,811.19	Facility		$5,187.31	$5,187.31	$9,811.19
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00