Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.00 / $5,948.50 / $20,680.40	Facility		$881.00	$5,948.50	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,150.61 / $9,172.83 / $20,286.13	Facility		$3,150.61	$9,172.83	$20,286.13
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 $1,005.16 / $1,894.59 / $3,740.43	Facility		$1,005.16	$1,894.59	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $719.49 / $1,456.02 / $3,280.24	Facility		$719.49	$1,456.02	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $962.85 / $1,285.06 / $1,379.53	Facility		$962.85	$1,285.06	$1,379.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.80 / $940.96 / $2,961.46	Facility		$912.80	$940.96	$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 $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00