Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.26 / $3,925.18 / $18,711.00	Facility		$1,045.26	$3,925.18	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$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 $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $591.16 / $1,210.54 / $7,292.72	Facility		$591.16	$1,210.54	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $788.41 / $1,067.98 / $1,151.06	Facility		$788.41	$1,067.98	$1,151.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.70 / $785.13 / $6,526.97	Facility		$754.70	$785.13	$6,526.97
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