Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.00 / $7,682.00 / $18,711.00	Facility		$877.00	$7,682.00	$18,711.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,634.87 / $9,172.83 / $20,286.13	Facility		$4,634.87	$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 $658.15 / $1,330.86 / $3,280.24	Facility		$658.15	$1,330.86	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.81 / $1,182.55 / $1,263.61	Facility		$866.81	$1,182.55	$1,263.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.07 / $861.90 / $2,961.46	Facility		$833.07	$861.90	$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