Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,961.93 / $5,116.62 / $18,800.00	Facility		$1,961.93	$5,116.62	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,098.30 / $8,047.87 / $15,403.47	Facility		$2,098.30	$8,047.87	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $717.09 / $717.09	Facility	AS	$388.48	$717.09	$717.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,553.70 / $2,581.17 / $3,952.56	Facility		$1,553.70	$2,581.17	$3,952.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,203.71 / $3,016.34 / $3,146.99	Facility		$2,203.71	$3,016.34	$3,146.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $2,098.30 / $2,218.36	Facility		$738.78	$2,098.30	$2,218.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
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