Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.25 / $10,657.20 / $22,024.00	Facility		$1,506.25	$10,657.20	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.89 / $17,514.91 / $35,644.43	Facility		$1,637.89	$17,514.91	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $166.96 / $546.94 / $546.94	Facility	AS	$166.96	$546.94	$546.94
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 $1,143.45 / $2,351.91 / $3,273.85	Facility		$1,143.45	$2,351.91	$3,273.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,680.70 / $2,295.42 / $2,401.28	Facility		$1,680.70	$2,295.42	$2,401.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,593.65 / $1,593.65 / $1,637.89	Facility		$1,593.65	$1,593.65	$1,637.89
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