Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.99 / $2,672.23 / $16,980.00	Facility		$778.99	$2,672.23	$16,980.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,003.24 / $9,172.83 / $20,286.13	Facility		$2,003.24	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $111.03 / $196.49 / $196.49	Facility	AS	$111.03	$196.49	$196.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $505.46 / $945.87 / $2,806.97	Facility		$505.46	$945.87	$2,806.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $777.23 / $1,129.61 / $1,219.40	Facility		$777.23	$1,129.61	$1,219.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.06 / $831.74 / $2,961.46	Facility		$809.06	$831.74	$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