Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,604.90 / $5,132.00 / $22,024.00	Facility		$1,604.90	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,742.54 / $17,514.91 / $35,644.43	Facility		$1,742.54	$17,514.91	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $177.53 / $581.61 / $581.61	Facility	AS	$177.53	$581.61	$581.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,212.75 / $2,497.60 / $3,471.12	Facility		$1,212.75	$2,497.60	$3,471.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,783.11 / $2,436.79 / $2,554.71	Facility		$1,783.11	$2,436.79	$2,554.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.94 / $1,742.54 / $10,581.24	Facility		$1,696.94	$1,742.54	$10,581.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00