Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $22,024.00	Facility		$1,733.00	$6,470.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,724.72 / $17,466.05 / $35,644.43	Facility		$1,724.72	$17,466.05	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $175.66 / $575.25 / $575.25	Facility	AS	$175.66	$575.25	$575.25
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 $1,213.45 / $2,499.62 / $3,472.02	Facility		$1,213.45	$2,499.62	$3,472.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,765.03 / $2,439.07 / $2,528.58	Facility		$1,765.03	$2,439.07	$2,528.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,683.35 / $1,724.72 / $9,029.83	Facility		$1,683.35	$1,724.72	$9,029.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,596.82 / $18,633.84 / $35,644.43	Facility		$13,596.82	$18,633.84	$35,644.43
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00