Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.14 / $7,394.00 / $16,398.00	Facility		$721.14	$7,394.00	$16,398.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $615.52 / $1,232.50 / $3,280.24	Facility		$615.52	$1,232.50	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $798.70 / $1,075.24 / $1,114.21	Facility		$798.70	$1,075.24	$1,114.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.24 / $754.05 / $2,961.46	Facility		$730.24	$754.05	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00