Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $9,070.48 / $20,645.74	Facility		$988.00	$9,070.48	$20,645.74
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 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $659.89 / $1,335.04 / $3,280.24	Facility		$659.89	$1,335.04	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $877.59 / $1,197.29 / $1,265.63	Facility		$877.59	$1,197.29	$1,265.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $837.60 / $863.27 / $2,961.46	Facility		$837.60	$863.27	$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