Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,248.96 / $5,132.00 / $22,024.00	Facility		$2,248.96	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,479.23 / $18,633.84 / $35,644.43	Facility		$2,479.23	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $248.97 / $824.88 / $824.88	Facility	AS	$248.97	$824.88	$824.88
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 $1,702.52 / $3,483.22 / $4,924.67	Facility		$1,702.52	$3,483.22	$4,924.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,515.04 / $3,444.27 / $3,634.75	Facility		$2,515.04	$3,444.27	$3,634.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,402.71 / $2,402.71 / $2,479.23	Facility		$2,402.71	$2,402.71	$2,479.23
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