Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.09 / $4,011.00 / $18,711.00	Facility		$785.09	$4,011.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,823.93 / $38,781.51	Facility		$6,526.97	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,434.69 / $2,386.34 / $2,386.34	Facility	AS	$1,434.69	$2,386.34	$2,386.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $10,513.49	Facility		$625.25	$761.81	$10,513.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.94 / $906.88 / $8,341.03	Facility		$446.94	$906.88	$8,341.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.85 / $793.28 / $865.64	Facility		$582.85	$793.28	$865.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.05 / $590.44 / $6,526.97	Facility		$568.05	$590.44	$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 $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00