Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.06 / $6,470.00 / $21,917.86	Facility		$893.06	$6,470.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,909.12 / $9,172.83 / $20,286.13	Facility		$3,909.12	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $503.29 / $1,021.87 / $3,280.24	Facility		$503.29	$1,021.87	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $672.77 / $911.87 / $978.87	Facility		$672.77	$911.87	$978.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $667.68 / $2,961.46	Facility		$644.16	$667.68	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00