Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $6,150.00 / $22,024.00	Facility		$1,125.00	$6,150.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,497.21 / $20,273.81 / $38,781.51	Facility		$8,497.21	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,471.11 / $2,446.92 / $2,446.92	Facility	AS	$1,471.11	$2,446.92	$2,446.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $10,780.39	Facility		$1,005.16	$1,223.70	$10,780.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $802.57 / $1,639.50 / $9,454.04	Facility		$802.57	$1,639.50	$9,454.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,085.28 / $1,500.80 / $1,591.92	Facility		$1,085.28	$1,500.80	$1,591.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,049.15 / $1,085.83 / $8,497.21	Facility		$1,049.15	$1,085.83	$8,497.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,669.79 / $20,262.22 / $38,781.51	Facility		$14,669.79	$20,262.22	$38,781.51
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