Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,323.79 / $6,470.00 / $22,024.00	Facility		$1,323.79	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $991.23 / $8,957.00 / $17,546.59	Facility		$991.23	$8,957.00	$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 $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $784.42 / $1,601.00 / $3,280.24	Facility		$784.42	$1,601.00	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,039.25 / $1,404.32 / $1,453.23	Facility		$1,039.25	$1,404.32	$1,453.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.44 / $964.44 / $991.23	Facility		$964.44	$964.44	$991.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$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