Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $20,964.00	Facility		$988.00	$6,470.00	$20,964.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $36,469.56 / $71,345.31	Facility		$11,500.00	$36,469.56	$71,345.31
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $3,072.11 / $5,109.89 / $5,109.89	Facility	AS	$3,072.11	$5,109.89	$5,109.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $22,512.66	Facility		$883.20	$1,075.31	$22,512.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $733.05 / $1,500.75 / $19,742.86	Facility		$733.05	$1,500.75	$19,742.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.83 / $1,317.89 / $1,405.66	Facility		$963.83	$1,317.89	$1,405.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.56 / $958.79 / $20,168.59	Facility		$929.56	$958.79	$20,168.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,749.60 / $37,275.87 / $71,345.31	Facility		$24,749.60	$37,275.87	$71,345.31
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