Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,918.86 / $5,128.00 / $23,000.00	Facility		$1,918.86	$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 $214.54 / $713.31 / $713.31	Facility	AS	$214.54	$713.31	$713.31
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 $1,429.41 / $2,869.54 / $4,134.68	Facility		$1,429.41	$2,869.54	$4,134.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,109.94 / $2,874.14 / $3,138.28	Facility		$2,109.94	$2,874.14	$3,138.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,058.89 / $2,058.89 / $2,140.59	Facility		$2,058.89	$2,058.89	$2,140.59
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