Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,282.33 / $5,128.00 / $20,680.40	Facility		$1,282.33	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $957.87 / $8,231.65 / $16,103.56	Facility		$957.87	$8,231.65	$16,103.56
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $97.68 / $320.17 / $320.17	Facility	AS	$97.68	$320.17	$320.17
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 $653.64 / $1,339.96 / $1,890.24	Facility		$653.64	$1,339.96	$1,890.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.34 / $1,316.55 / $1,404.32	Facility		$963.34	$1,316.55	$1,404.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.74 / $927.74 / $957.87	Facility		$927.74	$927.74	$957.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
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