Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $20,680.40	Facility		$988.00	$5,116.62	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $8,957.00 / $17,546.59	Facility		$986.25	$8,957.00	$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 $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 $749.07 / $1,517.77 / $3,280.24	Facility		$749.07	$1,517.77	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $997.98 / $1,359.43 / $1,461.27	Facility		$997.98	$1,359.43	$1,461.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $963.53 / $986.25 / $2,961.46	Facility		$963.53	$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 $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00