Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,147.65 / $4,500.00 / $18,711.00	Facility		$1,147.65	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $10,512.09	Facility		$55.00	$6,920.96	$10,512.09
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $451.86 / $751.59 / $751.59	Facility	AS	$451.86	$751.59	$751.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,987.56 / $3,311.26	Facility		$714.97	$1,987.56	$3,311.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $936.55 / $1,792.33 / $3,028.83	Facility		$936.55	$1,792.33	$3,028.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,182.38 / $1,575.17 / $1,658.25	Facility		$1,182.38	$1,575.17	$1,658.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,112.57 / $1,208.98 / $1,915.04	Facility		$1,112.57	$1,208.98	$1,915.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,806.07 / $7,956.97 / $15,220.78	Facility		$5,806.07	$7,956.97	$15,220.78
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