Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,344.49 / $17,514.91 / $35,644.43	Facility		$1,344.49	$17,514.91	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.83 / $445.06 / $445.06	Facility	AS	$135.83	$445.06	$445.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $876.33 / $1,796.47 / $2,533.17	Facility		$876.33	$1,796.47	$2,533.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,290.66 / $1,762.77 / $1,971.14	Facility		$1,290.66	$1,762.77	$1,971.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.23 / $1,318.23 / $1,344.49	Facility		$1,318.23	$1,318.23	$1,344.49
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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00