Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $937.78 / $5,128.00 / $21,917.86	Facility		$937.78	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $19,913.50 / $38,781.51	Facility		$6,713.85	$19,913.50	$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 $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $540.97 / $1,100.57 / $7,292.72	Facility		$540.97	$1,100.57	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $721.77 / $976.19 / $1,026.44	Facility		$721.77	$976.19	$1,026.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.05 / $700.12 / $8,597.62	Facility		$679.05	$700.12	$8,597.62
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 $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00