Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.09 / $5,128.00 / $20,680.40	Facility		$1,334.09	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,303.88 / $9,172.83 / $20,286.13	Facility		$3,303.88	$9,172.83	$20,286.13
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 $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $765.62 / $1,558.65 / $3,280.24	Facility		$765.62	$1,558.65	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,012.83 / $1,380.20 / $1,461.27	Facility		$1,012.83	$1,380.20	$1,461.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.78 / $986.25 / $2,961.46	Facility		$970.78	$986.25	$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 $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00