Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.95 / $5,128.00 / $20,680.40	Facility		$1,289.95	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $973.87 / $19,056.41 / $38,781.51	Facility		$973.87	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $98.70 / $324.41 / $324.41	Facility	AS	$98.70	$324.41	$324.41
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 $680.14 / $1,247.94 / $1,967.35	Facility		$680.14	$1,247.94	$1,967.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,021.81 / $1,358.27 / $1,437.52	Facility		$1,021.81	$1,358.27	$1,437.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.44 / $964.44 / $973.87	Facility		$964.44	$964.44	$973.87
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 $1,471.00 / $2,542.00 / $11,261.00	Facility		$1,471.00	$2,542.00	$11,261.00