Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.49 / $5,554.08 / $18,800.00	Facility		$638.49	$5,554.08	$18,800.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$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 $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 $525.52 / $1,069.11 / $3,280.24	Facility		$525.52	$1,069.11	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.04 / $937.33 / $1,004.33	Facility		$684.04	$937.33	$1,004.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.10 / $685.04 / $2,961.46	Facility		$664.10	$685.04	$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 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00