Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $23,000.00	Facility		$1,733.00	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,891.98 / $46,149.28 / $90,281.73	Facility		$1,891.98	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $191.18 / $631.87 / $631.87	Facility	AS	$191.18	$631.87	$631.87
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 $1,287.65 / $2,673.51 / $3,723.09	Facility		$1,287.65	$2,673.51	$3,723.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,899.24 / $2,626.40 / $2,773.80	Facility		$1,899.24	$2,626.40	$2,773.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,825.14 / $1,825.14 / $1,891.98	Facility		$1,825.14	$1,825.14	$1,891.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,050.80 / $47,196.58 / $90,281.73	Facility		$36,050.80	$47,196.58	$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