Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.28 / $7,920.26 / $18,711.00	Facility		$719.28	$7,920.26	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,554.51 / $14,095.51 / $26,963.11	Facility		$8,554.51	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $719.36 / $1,196.53 / $1,196.53	Facility	AS	$719.36	$1,196.53	$1,196.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $805.65 / $1,395.97 / $8,968.34	Facility		$805.65	$1,395.97	$8,968.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.88 / $1,195.75 / $1,290.42	Facility		$925.88	$1,195.75	$1,290.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.73 / $845.91 / $1,964.09	Facility		$826.73	$845.91	$1,964.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00