Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.21 / $2,769.52 / $18,711.00	Facility		$573.21	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,000.00 / $10,713.88	Facility		$55.00	$5,000.00	$10,713.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $43.78 / $145.93 / $145.93	Facility	AS	$43.78	$145.93	$145.93
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 $303.80 / $608.37 / $772.24	Facility		$303.80	$608.37	$772.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.88 / $600.37 / $644.54	Facility		$456.88	$600.37	$644.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.54 / $428.54 / $439.63	Facility		$428.54	$428.54	$439.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,853.95 / $19,853.95 / $43,325.10	Facility		$19,853.95	$19,853.95	$43,325.10
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00