Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.47 / $9,351.51 / $19,396.00	Facility		$1,176.47	$9,351.51	$19,396.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
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 $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $874.35 / $1,757.50 / $3,280.24	Facility		$874.35	$1,757.50	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,161.79 / $1,588.38 / $1,696.44	Facility		$1,161.79	$1,588.38	$1,696.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,118.00 / $2,961.46	Facility		$986.25	$1,118.00	$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