Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.70 / $7,489.85 / $17,930.00	Facility		$1,039.70	$7,489.85	$17,930.00
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 $602.76 / $1,235.95 / $3,280.24	Facility		$602.76	$1,235.95	$3,280.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $798.21 / $1,086.74 / $1,136.32	Facility		$798.21	$1,086.74	$1,136.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.34 / $775.07 / $2,961.46	Facility		$753.34	$775.07	$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