Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,972.73 / $10,122.46 / $83,711.16	Facility		$1,972.73	$10,122.46	$83,711.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.45 / $49,641.23 / $101,024.36	Facility		$7,244.45	$49,641.23	$101,024.36
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $217.02 / $722.70 / $722.70	Facility	AS	$217.02	$722.70	$722.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $2,285.42 / $2,285.42	Facility		$765.00	$2,285.42	$2,285.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,494.82 / $3,123.66 / $16,513.36	Facility		$1,494.82	$3,123.66	$16,513.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,217.07 / $2,994.12 / $3,175.13	Facility		$2,217.07	$2,994.12	$3,175.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,127.29 / $2,165.71 / $29,491.80	Facility		$2,127.29	$2,165.71	$29,491.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40,340.49 / $52,812.50 / $101,024.36	Facility		$40,340.49	$52,812.50	$101,024.36
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