Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.57 / $6,470.00 / $20,680.40	Facility		$1,327.57	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $999.92 / $17,514.91 / $35,644.43	Facility		$999.92	$17,514.91	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $102.34 / $335.16 / $335.16	Facility	AS	$102.34	$335.16	$335.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $696.15 / $1,436.79 / $1,994.26	Facility		$696.15	$1,436.79	$1,994.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,018.22 / $1,392.93 / $1,465.96	Facility		$1,018.22	$1,392.93	$1,465.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $974.86 / $974.86 / $999.92	Facility		$974.86	$974.86	$999.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
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