Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.72 / $5,128.00 / $27,027.55	Facility		$1,063.72	$5,128.00	$27,027.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $807.06 / $19,056.41 / $38,781.51	Facility		$807.06	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $81.48 / $267.94 / $267.94	Facility	AS	$81.48	$267.94	$267.94
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 $562.41 / $1,043.34 / $1,614.06	Facility		$562.41	$1,043.34	$1,614.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.75 / $1,120.82 / $1,187.28	Facility		$851.75	$1,120.82	$1,187.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.47 / $795.47 / $807.06	Facility		$795.47	$795.47	$807.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
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