Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,350.44 / $18,220.34 / $35,644.43	Facility		$1,350.44	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $136.41 / $451.87 / $451.87	Facility	AS	$136.41	$451.87	$451.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $907.16 / $1,830.57 / $2,624.64	Facility		$907.16	$1,830.57	$2,624.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,340.15 / $1,846.52 / $1,979.85	Facility		$1,340.15	$1,846.52	$1,979.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,304.19 / $1,304.19 / $1,350.44	Facility		$1,304.19	$1,304.19	$1,350.44
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