Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $5,128.00 / $21,917.86	Facility		$1,733.00	$5,128.00	$21,917.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $17,347.02 / $35,644.43	Facility		$2,000.00	$17,347.02	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.94 / $445.36 / $445.36	Facility	AS	$135.94	$445.36	$445.36
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 $933.80 / $1,919.53 / $2,672.16	Facility		$933.80	$1,919.53	$2,672.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,393.00 / $1,877.34 / $1,953.72	Facility		$1,393.00	$1,877.34	$1,953.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,301.02 / $1,332.61 / $10,581.24	Facility		$1,301.02	$1,332.61	$10,581.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,596.82 / $18,623.18 / $35,644.43	Facility		$13,596.82	$18,623.18	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00