Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.07 / $5,132.00 / $22,024.00	Facility		$1,376.07	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,030.08 / $18,220.34 / $35,644.43	Facility		$1,030.08	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $104.99 / $343.94 / $343.94	Facility	AS	$104.99	$343.94	$343.94
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 $713.30 / $1,467.68 / $2,044.47	Facility		$713.30	$1,467.68	$2,044.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.61 / $1,431.79 / $1,510.18	Facility		$1,047.61	$1,431.79	$1,510.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,005.66 / $1,005.66 / $1,030.08	Facility		$1,005.66	$1,005.66	$1,030.08
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