Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.53 / $5,128.00 / $21,917.86	Facility		$909.53	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,526.72 / $9,167.59 / $17,907.41	Facility		$4,526.72	$9,167.59	$17,907.41
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 $509.38 / $1,032.98 / $3,280.24	Facility		$509.38	$1,032.98	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.71 / $921.25 / $998.30	Facility		$675.71	$921.25	$998.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.30 / $680.93 / $2,961.46	Facility		$657.30	$680.93	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00