Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.99 / $4,500.00 / $18,711.00	Facility		$1,146.99	$4,500.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $667.57 / $1,357.64 / $7,292.72	Facility		$667.57	$1,357.64	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $879.06 / $1,197.96 / $1,253.92	Facility		$879.06	$1,197.96	$1,253.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $855.05 / $6,526.97	Facility		$835.33	$855.05	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $24,764.99 / $40,868.01	Facility		$3,129.00	$24,764.99	$40,868.01