Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.88 / $8,617.81 / $19,900.00	Facility		$760.88	$8,617.81	$19,900.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
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 $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $612.48 / $1,255.57 / $3,280.24	Facility		$612.48	$1,255.57	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $821.24 / $1,122.92 / $1,206.00	Facility		$821.24	$1,122.92	$1,206.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.20 / $822.60 / $2,961.46	Facility		$793.20	$822.60	$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