Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.77 / $4,373.00 / $18,800.00	Facility		$634.77	$4,373.00	$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 $548.69 / $1,103.56 / $3,280.24	Facility		$548.69	$1,103.56	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $701.07 / $965.47 / $1,006.34	Facility		$701.07	$965.47	$1,006.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.93 / $686.41 / $2,961.46	Facility		$660.93	$686.41	$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