Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $6,470.00 / $24,827.00	Facility		$1,560.00	$6,470.00	$24,827.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,173.23 / $29,789.77	Facility		$9,749.10	$16,173.23	$29,789.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $972.76 / $1,618.01 / $1,618.01	Facility	AS	$972.76	$1,618.01	$1,618.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,304.55 / $2,125.23 / $10,488.49	Facility		$1,304.55	$2,125.23	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.53 / $1,744.05 / $1,916.82	Facility		$1,409.53	$1,744.05	$1,916.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,254.35 / $1,254.35 / $1,261.78	Facility		$1,254.35	$1,254.35	$1,261.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00