Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.91 / $1,972.25 / $18,800.00	Facility		$895.91	$1,972.25	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $948.13 / $19,003.25 / $38,781.51	Facility		$948.13	$19,003.25	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $125.75 / $219.66 / $219.66	Facility	AS	$125.75	$219.66	$219.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,497.89	Facility		$714.97	$870.49	$11,497.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $594.64 / $1,123.43 / $7,746.75	Facility		$594.64	$1,123.43	$7,746.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.61 / $1,338.20 / $1,423.24	Facility		$846.61	$1,338.20	$1,423.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.62 / $948.13 / $9,861.77	Facility		$944.62	$948.13	$9,861.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,262.22 / $38,781.51	Facility		$14,793.48	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $6,096.98 / $19,271.00	Facility		$3,028.00	$6,096.98	$19,271.00