Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $924.55 / $5,128.00 / $21,917.86	Facility		$924.55	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $692.81 / $17,466.05 / $35,644.43	Facility		$692.81	$17,466.05	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $70.19 / $230.71 / $230.71	Facility	AS	$70.19	$230.71	$230.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $484.75 / $1,006.49 / $1,383.60	Facility		$484.75	$1,006.49	$1,383.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.49 / $972.84 / $1,015.72	Facility		$703.49	$972.84	$1,015.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.77 / $692.81 / $6,526.97	Facility		$681.77	$692.81	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00