Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.83 / $4,500.00 / $17,930.00	Facility		$1,140.83	$4,500.00	$17,930.00
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 $125.87 / $412.36 / $412.36	Facility	AS	$125.87	$412.36	$412.36
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 $861.00 / $1,769.13 / $2,463.23	Facility		$861.00	$1,769.13	$2,463.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,267.14 / $1,731.95 / $1,811.68	Facility		$1,267.14	$1,731.95	$1,811.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.33 / $1,235.73 / $8,635.77	Facility		$1,206.33	$1,235.73	$8,635.77
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