Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,134.10 / $7,682.00 / $18,800.00	Facility		$1,134.10	$7,682.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,185.98 / $9,172.83 / $20,286.13	Facility		$3,185.98	$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 $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $642.72 / $1,304.16 / $3,280.24	Facility		$642.72	$1,304.16	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.23 / $1,159.09 / $1,242.84	Facility		$846.23	$1,159.09	$1,242.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $822.65 / $847.74 / $2,961.46	Facility		$822.65	$847.74	$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