Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.58 / $5,128.00 / $23,000.00	Facility		$1,843.58	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $34,428.37 / $70,064.83	Facility		$2,000.00	$34,428.37	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $206.62 / $686.82 / $686.82	Facility	AS	$206.62	$686.82	$686.82
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 $1,370.82 / $2,781.41 / $3,965.20	Facility		$1,370.82	$2,781.41	$3,965.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,022.79 / $2,797.25 / $3,011.65	Facility		$2,022.79	$2,797.25	$3,011.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,976.89 / $1,976.89 / $2,054.21	Facility		$1,976.89	$1,976.89	$2,054.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
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