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 $1,690.90 / $18,220.34 / $35,644.43	Facility		$1,690.90	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $172.37 / $564.65 / $564.65	Facility	AS	$172.37	$564.65	$564.65
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 $1,182.65 / $2,429.79 / $3,386.83	Facility		$1,182.65	$2,429.79	$3,386.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,739.50 / $2,377.83 / $2,479.00	Facility		$1,739.50	$2,377.83	$2,479.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,648.01 / $1,648.01 / $1,690.90	Facility		$1,648.01	$1,648.01	$1,690.90
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