Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.18 / $5,128.00 / $23,000.00	Facility		$1,351.18	$5,128.00	$23,000.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,897.78 / $34,332.32 / $70,064.83	Facility		$2,897.78	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $103.34 / $342.12 / $342.12	Facility	AS	$103.34	$342.12	$342.12
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 $690.06 / $1,413.51 / $1,996.05	Facility		$690.06	$1,413.51	$1,996.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,028.51 / $1,405.66 / $1,499.46	Facility		$1,028.51	$1,405.66	$1,499.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.52 / $1,022.77 / $13,091.98	Facility		$992.52	$1,022.77	$13,091.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,087.00 / $18,897.00	Facility		$3,028.00	$9,087.00	$18,897.00