Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.59 / $5,128.00 / $20,680.40	Facility		$992.59	$5,128.00	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $577.24 / $1,172.43 / $7,292.72	Facility		$577.24	$1,172.43	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.64 / $1,028.45 / $1,087.41	Facility		$752.64	$1,028.45	$1,087.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.89 / $741.71 / $6,526.97	Facility		$723.89	$741.71	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00