Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,125.00 / $23,000.00	Facility		$1,733.00	$5,125.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $44,238.76 / $90,281.73	Facility		$5,000.00	$44,238.76	$90,281.73
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $181.88 / $602.19 / $602.19	Facility	AS	$181.88	$602.19	$602.19
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 $1,234.10 / $2,556.01 / $3,569.76	Facility		$1,234.10	$2,556.01	$3,569.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,853.18 / $2,499.10 / $2,648.51	Facility		$1,853.18	$2,499.10	$2,648.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,757.19 / $1,806.52 / $24,524.93	Facility		$1,757.19	$1,806.52	$24,524.93
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