Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.21 / $5,128.00 / $20,680.40	Facility		$1,539.21	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.44 / $6,892.70 / $13,484.17	Facility		$1,148.44	$6,892.70	$13,484.17
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $116.89 / $383.00 / $383.00	Facility	AS	$116.89	$383.00	$383.00
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 $798.00 / $1,642.24 / $2,285.67	Facility		$798.00	$1,642.24	$2,285.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,169.63 / $1,597.28 / $1,683.71	Facility		$1,169.63	$1,597.28	$1,683.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.91 / $1,118.91 / $1,148.44	Facility		$1,118.91	$1,118.91	$1,148.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,384.43 / $7,049.12 / $13,484.17	Facility		$5,384.43	$7,049.12	$13,484.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00