Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.37 / $4,011.00 / $18,711.00	Facility		$797.37	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $594.55 / $37,297.19 / $71,345.31	Facility		$594.55	$37,297.19	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,515.89 / $5,848.03 / $5,848.03	Facility	AS	$3,515.89	$5,848.03	$5,848.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $25,764.72	Facility		$714.97	$870.49	$25,764.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $576.84 / $1,102.74 / $22,594.80	Facility		$576.84	$1,102.74	$22,594.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $714.74 / $850.66 / $1,051.90	Facility		$714.74	$850.66	$1,051.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.75 / $594.55 / $22,816.44	Facility		$580.75	$594.55	$22,816.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,489.22 / $38,008.19 / $71,345.31	Facility		$28,489.22	$38,008.19	$71,345.31
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