Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,080.84 / $4,500.00 / $22,024.00	Facility		$2,080.84	$4,500.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,559.74 / $34,332.32 / $70,064.83	Facility		$1,559.74	$34,332.32	$70,064.83
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $159.00 / $520.90 / $520.90	Facility	AS	$159.00	$520.90	$520.90
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 $1,088.84 / $2,248.19 / $3,450.00	Facility		$1,088.84	$2,248.19	$3,450.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,600.83 / $2,188.89 / $2,286.71	Facility		$1,600.83	$2,188.89	$2,286.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,519.36 / $1,559.74 / $23,065.03	Facility		$1,519.36	$1,559.74	$23,065.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,726.72 / $36,627.79 / $70,064.83	Facility		$26,726.72	$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