Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.52 / $5,132.00 / $22,024.00	Facility		$1,569.52	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,346.67 / $9,522.34 / $20,286.13	Facility		$4,346.67	$9,522.34	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $646.95 / $1,076.08 / $1,076.08	Facility	AS	$646.95	$1,076.08	$1,076.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $4,740.89	Facility		$1,005.16	$1,223.70	$4,740.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $894.23 / $1,834.84 / $4,157.60	Facility		$894.23	$1,834.84	$4,157.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,618.72 / $1,719.89	Facility		$1,194.00	$1,618.72	$1,719.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,137.03 / $2,961.46	Facility		$986.25	$1,137.03	$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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00