Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $23,000.00	Facility		$1,733.00	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $19,823.93 / $38,781.51	Facility		$5,897.00	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $8,315.84	Facility		$2,000.00	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,294.17 / $2,626.29 / $7,292.72	Facility		$1,294.17	$2,626.29	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,755.34 / $2,362.59 / $2,508.48	Facility		$1,755.34	$2,362.59	$2,508.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.06 / $1,711.01 / $6,526.97	Facility		$1,662.06	$1,711.01	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,643.00 / $20,708.00	Facility		$3,028.00	$5,643.00	$20,708.00