Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.24 / $5,128.00 / $20,680.40	Facility		$243.24	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $4,272.08	Facility		$55.00	$2,000.00	$4,272.08
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $18.36 / $60.40 / $60.40	Facility	AS	$18.36	$60.40	$60.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,000.00 / $2,285.42	Facility		$714.97	$2,000.00	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.99 / $268.99 / $338.05	Facility		$132.99	$268.99	$338.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.43 / $252.91 / $274.02	Facility		$199.43	$252.91	$274.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.75 / $180.75 / $183.26	Facility		$180.75	$180.75	$183.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,683.09 / $8,683.09 / $10,939.38	Facility		$8,683.09	$8,683.09	$10,939.38
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00