Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.54 / $4,011.00 / $18,711.00	Facility		$1,283.54	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,303.88 / $9,172.83 / $17,546.59	Facility		$3,303.88	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $733.38 / $1,496.91 / $3,280.24	Facility		$733.38	$1,496.91	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $959.31 / $1,326.60 / $1,407.00	Facility		$959.31	$1,326.60	$1,407.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.92 / $959.70 / $2,961.46	Facility		$930.92	$959.70	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00