Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.50 / $9,136.34 / $18,711.00	Facility		$682.50	$9,136.34	$18,711.00
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 $883.20 / $1,664.69 / $3,740.43	Facility		$883.20	$1,664.69	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $530.70 / $1,074.70 / $3,280.24	Facility		$530.70	$1,074.70	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $953.41 / $1,015.05	Facility		$689.44	$953.41	$1,015.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.53 / $692.36 / $2,961.46	Facility		$669.53	$692.36	$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