Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.77 / $3,568.00 / $18,711.00	Facility		$1,555.77	$3,568.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.74 / $9,625.81 / $18,444.79	Facility		$1,187.74	$9,625.81	$18,444.79
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $628.46 / $1,045.32 / $1,045.32	Facility	AS	$628.46	$1,045.32	$1,045.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $4,605.38	Facility		$714.97	$870.49	$4,605.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $810.40 / $1,692.82 / $4,038.76	Facility		$810.40	$1,692.82	$4,038.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,178.79 / $1,628.10 / $1,741.33	Facility		$1,178.79	$1,628.10	$1,741.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,142.92 / $1,187.74 / $4,081.09	Facility		$1,142.92	$1,187.74	$4,081.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,354.08 / $9,642.37 / $18,444.79	Facility		$6,354.08	$9,642.37	$18,444.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00