Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,977.10 / $5,128.00 / $23,000.00	Facility		$1,977.10	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,213.25 / $44,238.76 / $90,281.73	Facility		$2,213.25	$44,238.76	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $221.50 / $738.44 / $738.44	Facility	AS	$221.50	$738.44	$738.44
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 $1,500.09 / $3,040.54 / $4,339.13	Facility		$1,500.09	$3,040.54	$4,339.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,259.39 / $3,057.21 / $3,244.81	Facility		$2,259.39	$3,057.21	$3,244.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,134.08 / $2,213.25 / $24,524.93	Facility		$2,134.08	$2,213.25	$24,524.93
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