Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $8,836.95 / $24,827.00	Facility		$1,560.00	$8,836.95	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,332.70 / $9,522.34 / $20,286.13	Facility		$3,332.70	$9,522.34	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $659.68 / $1,097.25 / $1,097.25	Facility	AS	$659.68	$1,097.25	$1,097.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $4,834.16	Facility		$1,394.89	$1,698.13	$4,834.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $849.99 / $1,736.38 / $4,239.39	Facility		$849.99	$1,736.38	$4,239.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.08 / $1,515.54 / $1,701.13	Facility		$1,121.08	$1,515.54	$1,701.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,142.01 / $2,961.46	Facility		$986.25	$1,142.01	$2,961.46
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