Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.19 / $4,500.00 / $20,680.40	Facility		$1,941.19	$4,500.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,558.37 / $18,220.34 / $35,644.43	Facility		$1,558.37	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $158.81 / $520.29 / $520.29	Facility	AS	$158.81	$520.29	$520.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,082.90 / $2,227.69 / $3,095.40	Facility		$1,082.90	$2,227.69	$3,095.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,592.01 / $2,171.46 / $2,284.69	Facility		$1,592.01	$2,171.46	$2,284.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,518.91 / $1,518.91 / $1,558.37	Facility		$1,518.91	$1,518.91	$1,558.37
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