Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.66 / $3,319.86 / $18,711.00	Facility		$1,168.66	$3,319.86	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $8,315.84	Facility		$466.83	$568.48	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.30 / $1,279.13 / $6,597.50	Facility		$630.30	$1,279.13	$6,597.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $834.47 / $1,151.06 / $1,272.33	Facility		$834.47	$1,151.06	$1,272.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.66 / $867.84 / $6,526.97	Facility		$846.66	$867.84	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $24,764.99 / $40,868.01	Facility		$3,129.00	$24,764.99	$40,868.01