Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.16 / $4,011.00 / $18,711.00	Facility		$1,184.16	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $892.52 / $17,466.05 / $35,644.43	Facility		$892.52	$17,466.05	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $91.03 / $298.37 / $298.37	Facility	AS	$91.03	$298.37	$298.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $613.20 / $1,257.60 / $1,762.91	Facility		$613.20	$1,257.60	$1,762.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $896.70 / $1,232.13 / $1,308.51	Facility		$896.70	$1,232.13	$1,308.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $862.06 / $892.52 / $6,526.97	Facility		$862.06	$892.52	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,154.00 / $18,623.18 / $35,644.43	Facility		$12,154.00	$18,623.18	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00