Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.62 / $5,132.00 / $22,024.00	Facility		$2,006.62	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.29 / $18,220.34 / $35,644.43	Facility		$2,186.29	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.90 / $731.02 / $731.02	Facility	AS	$221.90	$731.02	$731.02
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 $1,509.90 / $3,113.25 / $4,364.22	Facility		$1,509.90	$3,113.25	$4,364.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,221.92 / $3,072.62 / $3,205.28	Facility		$2,221.92	$3,072.62	$3,205.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,133.17 / $2,133.17 / $2,186.29	Facility		$2,133.17	$2,133.17	$2,186.29
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