Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,132.00 / $22,024.00	Facility		$1,733.00	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,654.80 / $18,220.34 / $35,644.43	Facility		$1,654.80	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $168.66 / $552.54 / $552.54	Facility	AS	$168.66	$552.54	$552.54
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 $1,154.30 / $2,375.41 / $3,307.02	Facility		$1,154.30	$2,375.41	$3,307.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,695.40 / $2,316.86 / $2,426.07	Facility		$1,695.40	$2,316.86	$2,426.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,610.87 / $1,610.87 / $1,654.80	Facility		$1,610.87	$1,610.87	$1,654.80
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