Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.96 / $2,769.52 / $18,711.00	Facility		$1,620.96	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,595.16 / $38,236.33 / $74,682.17	Facility		$2,595.16	$38,236.33	$74,682.17
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2,951.71 / $4,909.63 / $4,909.63	Facility	AS	$2,951.71	$4,909.63	$4,909.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $21,630.37	Facility		$714.97	$870.49	$21,630.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $843.03 / $1,761.71 / $17,160.79	Facility		$843.03	$1,761.71	$17,160.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,217.06 / $1,683.04 / $1,812.35	Facility		$1,217.06	$1,683.04	$1,812.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,189.13 / $1,236.19 / $20,202.36	Facility		$1,189.13	$1,236.19	$20,202.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,032.50 / $38,581.23 / $74,682.17	Facility		$25,032.50	$38,581.23	$74,682.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00