Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.05 / $5,128.00 / $23,000.00	Facility		$1,889.05	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,115.91 / $44,238.76 / $90,281.73	Facility		$2,115.91	$44,238.76	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $211.67 / $705.44 / $705.44	Facility	AS	$211.67	$705.44	$705.44
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 $1,432.82 / $2,897.82 / $4,144.54	Facility		$1,432.82	$2,897.82	$4,144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,147.67 / $2,914.50 / $3,102.10	Facility		$2,147.67	$2,914.50	$3,102.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,039.86 / $2,115.91 / $24,524.93	Facility		$2,039.86	$2,115.91	$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