Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,726.95 / $2,650.38 / $20,680.40	Facility		$1,726.95	$2,650.38	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $17,347.02 / $35,644.43	Facility		$2,000.00	$17,347.02	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $131.78 / $431.74 / $431.74	Facility	AS	$131.78	$431.74	$431.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $898.45 / $1,783.23 / $2,574.42	Facility		$898.45	$1,783.23	$2,574.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,319.57 / $1,804.31 / $1,896.10	Facility		$1,319.57	$1,804.31	$1,896.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.70 / $1,293.31 / $6,526.97	Facility		$1,260.70	$1,293.31	$6,526.97
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 $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00