Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.66 / $6,470.00 / $20,680.40	Facility		$1,127.66	$6,470.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $17,808.41	Facility		$2,218.36	$8,052.47	$17,808.41
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $579.39 / $1,245.16 / $2,496.58	Facility		$579.39	$1,245.16	$2,496.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $791.90 / $1,179.20 / $1,244.19	Facility		$791.90	$1,179.20	$1,244.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $822.20 / $2,218.36	Facility		$738.78	$822.20	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
United Facility/Professional Facility Modifier Low / Median / High Price $607.14 / $1,681.00 / $6,857.00	Facility		$607.14	$1,681.00	$6,857.00