Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.99 / $5,132.00 / $22,024.00	Facility		$1,520.99	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
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 $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $861.99 / $1,723.48 / $3,280.24	Facility		$861.99	$1,723.48	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.21 / $1,565.79 / $1,658.92	Facility		$1,141.21	$1,565.79	$1,658.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,098.53 / $2,961.46	Facility		$986.25	$1,098.53	$2,961.46
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 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00