Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.65 / $3,354.00 / $18,800.00	Facility		$181.65	$3,354.00	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $3,660.30 / $26,542.00	Facility		$138.47	$3,660.30	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $14.25 / $46.47 / $46.47	Facility	AS	$14.25	$46.47	$46.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.45 / $203.88 / $254.10	Facility		$100.45	$203.88	$254.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $196.98 / $204.68	Facility		$146.80	$196.98	$204.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $134.54 / $138.47	Facility		$134.54	$134.54	$138.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,941.52 / $7,941.52 / $10,005.11	Facility		$7,941.52	$7,941.52	$10,005.11
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00