Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.17 / $5,128.00 / $20,680.40	Facility		$817.17	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,526.72 / $19,056.41 / $38,781.51	Facility		$4,526.72	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $520.15 / $1,041.57 / $6,597.50	Facility		$520.15	$1,041.57	$6,597.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.93 / $919.91 / $961.45	Facility		$689.93	$919.91	$961.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $631.03 / $655.80 / $6,526.97	Facility		$631.03	$655.80	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00