Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,030.22 / $4,500.00 / $20,680.40	Facility		$2,030.22	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,522.27 / $35,815.01 / $70,064.83	Facility		$1,522.27	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $154.96 / $507.73 / $507.73	Facility	AS	$154.96	$507.73	$507.73
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 $1,055.95 / $2,170.63 / $3,025.46	Facility		$1,055.95	$2,170.63	$3,025.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,551.34 / $2,123.90 / $2,231.77	Facility		$1,551.34	$2,123.90	$2,231.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,484.03 / $1,484.03 / $1,522.27	Facility		$1,484.03	$1,484.03	$1,522.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
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