Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,644.59 / $5,938.41 / $23,000.00	Facility		$2,644.59	$5,938.41	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,921.14 / $46,149.28 / $90,281.73	Facility		$2,921.14	$46,149.28	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $293.00 / $967.18 / $967.18	Facility	AS	$293.00	$967.18	$967.18
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 $2,000.19 / $4,119.03 / $5,783.71	Facility		$2,000.19	$4,119.03	$5,783.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,984.59 / $4,051.58 / $4,282.64	Facility		$2,984.59	$4,051.58	$4,282.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,841.22 / $2,841.22 / $2,921.14	Facility		$2,841.22	$2,841.22	$2,921.14
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