Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.68 / $1,490.25 / $17,967.00	Facility		$750.68	$1,490.25	$17,967.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,930.88 / $19,823.93 / $38,781.51	Facility		$1,930.88	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $106.29 / $188.17 / $188.17	Facility	AS	$106.29	$188.17	$188.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $494.46 / $940.12 / $6,166.72	Facility		$494.46	$940.12	$6,166.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.41 / $1,171.83 / $1,230.11	Facility		$725.41	$1,171.83	$1,230.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.78 / $839.05 / $6,526.97	Facility		$811.78	$839.05	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
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