Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,012.45 / $5,116.62 / $22,024.00	Facility		$2,012.45	$5,116.62	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,186.29 / $7,049.12 / $15,589.45	Facility		$2,186.29	$7,049.12	$15,589.45
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $222.87 / $730.11 / $730.11	Facility	AS	$222.87	$730.11	$730.11
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 $1,533.35 / $3,150.20 / $4,384.85	Facility		$1,533.35	$3,150.20	$4,384.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,258.41 / $3,084.68 / $3,205.28	Facility		$2,258.41	$3,084.68	$3,205.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,135.90 / $2,135.90 / $2,186.29	Facility		$2,135.90	$2,135.90	$2,186.29
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