Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,351.14 / $2,769.52 / $18,711.00	Facility		$1,351.14	$2,769.52	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,830.61 / $9,172.83 / $17,546.59	Facility		$3,830.61	$9,172.83	$17,546.59
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 $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $740.37 / $1,516.10 / $3,280.24	Facility		$740.37	$1,516.10	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $959.78 / $1,333.23 / $1,514.87	Facility		$959.78	$1,333.23	$1,514.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,021.06 / $1,033.28 / $3,830.61	Facility		$1,021.06	$1,033.28	$3,830.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$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