Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $868.28 / $12,619.36 / $25,612.66	Facility		$868.28	$12,619.36	$25,612.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,749.75 / $20,262.22 / $38,781.51	Facility		$5,749.75	$20,262.22	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $149.59 / $490.02 / $490.02	Facility	AS	$149.59	$490.02	$490.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,025.15 / $2,130.16 / $6,134.58	Facility		$1,025.15	$2,130.16	$6,134.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,519.49 / $2,058.23 / $2,152.04	Facility		$1,519.49	$2,058.23	$2,152.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,430.12 / $1,430.12 / $1,467.88	Facility		$1,430.12	$1,430.12	$1,467.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
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