Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.77 / $5,128.00 / $21,917.86	Facility		$1,220.77	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $922.68 / $18,220.34 / $35,644.43	Facility		$922.68	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $93.47 / $307.30 / $307.30	Facility	AS	$93.47	$307.30	$307.30
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 $677.98 / $1,361.52 / $1,854.37	Facility		$677.98	$1,361.52	$1,854.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $971.18 / $1,290.16 / $1,354.56	Facility		$971.18	$1,290.16	$1,354.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.72 / $908.72 / $922.68	Facility		$908.72	$908.72	$922.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00