Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.22 / $8,617.81 / $20,680.40	Facility		$1,659.22	$8,617.81	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.96 / $17,514.91 / $35,644.43	Facility		$1,328.96	$17,514.91	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $135.49 / $443.85 / $443.85	Facility	AS	$135.49	$443.85	$443.85
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 $969.89 / $1,906.77 / $2,654.23	Facility		$969.89	$1,906.77	$2,654.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,365.63 / $1,866.62 / $1,948.36	Facility		$1,365.63	$1,866.62	$1,948.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,299.20 / $1,299.20 / $1,328.96	Facility		$1,299.20	$1,299.20	$1,328.96
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