Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.11 / $6,470.00 / $20,680.40	Facility		$1,057.11	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.87 / $9,558.29 / $26,542.00	Facility		$2,010.87	$9,558.29	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $544.69 / $905.99 / $905.99	Facility	AS	$544.69	$905.99	$905.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,991.53	Facility		$1,005.16	$1,223.70	$3,991.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $639.37 / $1,215.07 / $3,651.07	Facility		$639.37	$1,215.07	$3,651.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $815.85 / $1,114.21 / $1,170.49	Facility		$815.85	$1,114.21	$1,170.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $781.88 / $1,460.91 / $2,583.64	Facility		$781.88	$1,460.91	$2,583.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
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