Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,033.41 / $5,132.00 / $22,024.00	Facility		$2,033.41	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,242.50 / $18,633.84 / $35,644.43	Facility		$2,242.50	$18,633.84	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $227.11 / $752.22 / $752.22	Facility	AS	$227.11	$752.22	$752.22
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 $1,524.27 / $3,147.63 / $4,409.07	Facility		$1,524.27	$3,147.63	$4,409.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,247.11 / $3,107.46 / $3,287.69	Facility		$2,247.11	$3,107.46	$3,287.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,177.57 / $2,177.57 / $2,242.50	Facility		$2,177.57	$2,177.57	$2,242.50
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