Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,244.17 / $5,128.00 / $23,000.00	Facility		$2,244.17	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,482.88 / $46,149.28 / $90,281.73	Facility		$2,482.88	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $248.95 / $825.64 / $825.64	Facility	AS	$248.95	$825.64	$825.64
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 $1,701.28 / $3,429.24 / $4,921.08	Facility		$1,701.28	$3,429.24	$4,921.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,538.19 / $3,439.42 / $3,640.11	Facility		$2,538.19	$3,439.42	$3,640.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,424.00 / $2,424.00 / $2,482.88	Facility		$2,424.00	$2,424.00	$2,482.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$90,281.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $7,614.00 / $24,236.00	Facility		$3,700.00	$7,614.00	$24,236.00