Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.49 / $7,394.00 / $20,680.40	Facility		$926.49	$7,394.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
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 $522.50 / $1,063.85 / $3,280.24	Facility		$522.50	$1,063.85	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.57 / $934.65 / $1,014.38	Facility		$682.57	$934.65	$1,014.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $691.90 / $2,961.46	Facility		$665.00	$691.90	$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