Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.29 / $5,116.62 / $18,711.00	Facility		$688.29	$5,116.62	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $7,547.82 / $15,403.47	Facility		$738.78	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $569.02 / $1,170.14 / $2,496.58	Facility		$569.02	$1,170.14	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.50 / $1,028.45 / $1,094.10	Facility		$753.50	$1,028.45	$1,094.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.63 / $738.78 / $2,218.36	Facility		$721.63	$738.78	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00