Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.22 / $4,500.00 / $22,024.00	Facility		$905.22	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,057.15 / $34,332.32 / $70,064.83	Facility		$4,057.15	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $99.50 / $329.26 / $329.26	Facility	AS	$99.50	$329.26	$329.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $662.78 / $1,351.15 / $1,917.14	Facility		$662.78	$1,351.15	$1,917.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $972.88 / $1,345.36 / $1,445.86	Facility		$972.88	$1,345.36	$1,445.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.11 / $986.21 / $13,091.98	Facility		$953.11	$986.21	$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 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00