Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.15 / $1,427.38 / $14,464.32	Facility		$654.15	$1,427.38	$14,464.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,682.60 / $9,167.59 / $16,394.00	Facility		$1,682.60	$9,167.59	$16,394.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $93.62 / $165.01 / $165.01	Facility	AS	$93.62	$165.01	$165.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $432.03 / $814.31 / $2,806.97	Facility		$432.03	$814.31	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.45 / $1,005.00 / $1,057.26	Facility		$613.45	$1,005.00	$1,057.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $702.15 / $721.15 / $2,961.46	Facility		$702.15	$721.15	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00