Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.58 / $5,128.00 / $20,680.40	Facility		$958.58	$5,128.00	$20,680.40
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 $1,007.56 / $1,741.88 / $10,488.49	Facility		$1,007.56	$1,741.88	$10,488.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,121.40 / $1,353.49 / $1,460.64	Facility		$1,121.40	$1,353.49	$1,460.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $973.04 / $973.04 / $980.27	Facility		$973.04	$973.04	$980.27
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