Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.96 / $8,086.90 / $25,564.03	Facility		$1,249.96	$8,086.90	$25,564.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,780.06 / $20,273.81 / $38,781.51	Facility		$8,780.06	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,444.09 / $2,401.96 / $2,401.96	Facility	AS	$1,444.09	$2,401.96	$2,401.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,582.37	Facility		$714.97	$870.49	$10,582.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $714.58 / $1,446.84 / $9,280.37	Facility		$714.58	$1,446.84	$9,280.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $940.31 / $1,285.06 / $1,372.83	Facility		$940.31	$1,285.06	$1,372.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.74 / $936.39 / $8,780.06	Facility		$903.74	$936.39	$8,780.06
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