Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.52 / $7,489.85 / $18,800.00	Facility		$1,021.52	$7,489.85	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $735.67 / $4,318.66 / $8,788.86	Facility		$735.67	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $228.94 / $380.79 / $380.79	Facility	AS	$228.94	$380.79	$380.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,000.00	Facility		$714.97	$870.49	$2,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $583.62 / $1,141.15 / $1,710.00	Facility		$583.62	$1,141.15	$1,710.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.94 / $1,054.58 / $1,119.57	Facility		$790.94	$1,054.58	$1,119.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $735.67 / $1,323.75	Facility		$440.84	$735.67	$1,323.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.52 / $4,594.55 / $8,788.86	Facility		$3,509.52	$4,594.55	$8,788.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00