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 $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 $172.55 / $565.11 / $565.11	Facility	AS	$172.55	$565.11	$565.11
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 $1,207.01 / $2,441.88 / $3,400.28	Facility		$1,207.01	$2,441.88	$3,400.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,754.20 / $2,394.75 / $2,485.03	Facility		$1,754.20	$2,394.75	$2,485.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.25 / $1,695.01 / $10,581.24	Facility		$1,660.25	$1,695.01	$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