Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.48 / $7,863.94 / $22,571.67	Facility		$938.48	$7,863.94	$22,571.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$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 $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.65 / $1,401.79 / $7,292.72	Facility		$691.65	$1,401.79	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.98 / $1,254.24 / $1,345.36	Facility		$906.98	$1,254.24	$1,345.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.33 / $917.66 / $6,526.97	Facility		$888.33	$917.66	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00