Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.02 / $7,863.94 / $22,024.00	Facility		$883.02	$7,863.94	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,215.22 / $9,172.83 / $20,286.13	Facility		$5,215.22	$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 $727.75 / $1,471.04 / $3,280.24	Facility		$727.75	$1,471.04	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $960.28 / $1,314.54 / $1,400.97	Facility		$960.28	$1,314.54	$1,400.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.93 / $955.59 / $2,961.46	Facility		$925.93	$955.59	$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