Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.34 / $7,920.26 / $19,900.00	Facility		$1,510.34	$7,920.26	$19,900.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,128.33 / $17,466.05 / $35,644.43	Facility		$1,128.33	$17,466.05	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $115.26 / $377.70 / $377.70	Facility	AS	$115.26	$377.70	$377.70
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 $779.10 / $1,605.98 / $2,226.50	Facility		$779.10	$1,605.98	$2,226.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,140.72 / $1,563.11 / $1,654.23	Facility		$1,140.72	$1,563.11	$1,654.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.71 / $1,096.71 / $1,128.33	Facility		$1,096.71	$1,096.71	$1,128.33
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