Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,083.12 / $5,125.00 / $23,000.00	Facility		$2,083.12	$5,125.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,113.00 / $43,937.27 / $90,281.73	Facility		$8,113.00	$43,937.27	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,326.45 / $4,380.60 / $4,380.60	Facility	62	$1,326.45	$4,380.60	$4,380.60
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $212.23 / $700.90 / $700.90	Facility	AS	$212.23	$700.90	$700.90
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 $1,463.00 / $3,002.92 / $4,210.00	Facility		$1,463.00	$3,002.92	$4,210.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,193.23 / $2,932.74 / $3,085.35	Facility		$2,193.23	$2,932.74	$3,085.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,053.90 / $2,104.48 / $29,491.80	Facility		$2,053.90	$2,104.48	$29,491.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $34,438.60 / $47,169.60 / $90,281.73	Facility		$34,438.60	$47,169.60	$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