Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.26 / $7,682.00 / $18,711.00	Facility		$1,245.26	$7,682.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $985.28 / $7,547.82 / $15,403.47	Facility		$985.28	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $792.14 / $1,552.62 / $2,496.58	Facility		$792.14	$1,552.62	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,035.85 / $1,415.71 / $1,480.70	Facility		$1,035.85	$1,415.71	$1,480.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $985.28 / $2,218.36	Facility		$738.78	$985.28	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00