Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.14 / $6,026.40 / $20,680.40	Facility		$1,094.14	$6,026.40	$20,680.40
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 $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $856.51 / $1,730.54 / $3,280.24	Facility		$856.51	$1,730.54	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,137.78 / $1,563.68 / $1,655.57	Facility		$1,137.78	$1,563.68	$1,655.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.25 / $1,092.64 / $2,961.46	Facility		$986.25	$1,092.64	$2,961.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$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