Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.72 / $6,470.00 / $22,024.00	Facility		$1,519.72	$6,470.00	$22,024.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $17,148.00 / $17,148.00 / $17,148.00	Facility	22	$17,148.00	$17,148.00	$17,148.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,298.40 / $24,238.68 / $38,538.61	Facility		$3,298.40	$24,238.68	$38,538.61
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,582.51 / $2,632.21 / $2,632.21	Facility	AS	$1,582.51	$2,632.21	$2,632.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $11,596.76	Facility		$2,000.00	$2,285.42	$11,596.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,076.85 / $2,258.07 / $10,607.60	Facility		$1,076.85	$2,258.07	$10,607.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,463.47 / $2,150.53 / $2,254.55	Facility		$1,463.47	$2,150.53	$2,254.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,511.21 / $2,010.99 / $3,875.03	Facility		$1,511.21	$2,010.99	$3,875.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,479.97 / $28,466.04 / $55,801.25	Facility		$12,479.97	$28,466.04	$55,801.25
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