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 $1,644.74 / $18,220.34 / $35,644.43	Facility		$1,644.74	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $167.54 / $548.76 / $548.76	Facility	AS	$167.54	$548.76	$548.76
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 $1,149.40 / $2,363.98 / $3,290.88	Facility		$1,149.40	$2,363.98	$3,290.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,690.01 / $2,310.16 / $2,411.33	Facility		$1,690.01	$2,310.16	$2,411.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,602.26 / $1,602.26 / $1,644.74	Facility		$1,602.26	$1,602.26	$1,644.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$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