Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,881.53 / $5,128.00 / $23,000.00	Facility		$1,881.53	$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 $210.29 / $699.84 / $699.84	Facility	AS	$210.29	$699.84	$699.84
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 $1,418.87 / $2,869.40 / $4,104.18	Facility		$1,418.87	$2,869.40	$4,104.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,099.82 / $2,901.10 / $3,081.33	Facility		$2,099.82	$2,901.10	$3,081.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,029.89 / $2,029.89 / $2,101.73	Facility		$2,029.89	$2,029.89	$2,101.73
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