Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $7,394.00 / $18,800.00	Facility		$801.00	$7,394.00	$18,800.00
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 $555.74 / $1,130.60 / $3,280.24	Facility		$555.74	$1,130.60	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $731.08 / $1,000.31 / $1,067.98	Facility		$731.08	$1,000.31	$1,067.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.96 / $728.46 / $2,961.46	Facility		$703.96	$728.46	$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