Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.18 / $1,696.49 / $22,024.00	Facility		$733.18	$1,696.49	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $808.43 / $18,220.34 / $35,644.43	Facility		$808.43	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $81.69 / $268.70 / $268.70	Facility	AS	$81.69	$268.70	$268.70
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 $592.44 / $1,197.59 / $1,633.78	Facility		$592.44	$1,197.59	$1,633.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $860.44 / $1,128.01 / $1,185.23	Facility		$860.44	$1,128.01	$1,185.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.83 / $796.83 / $808.43	Facility		$796.83	$796.83	$808.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$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